妊娠早期恶性脑肿瘤误诊为妊娠剧吐。

IF 2.2 4区医学 Q2 OBSTETRICS & GYNECOLOGY Taiwanese Journal of Obstetrics & Gynecology Pub Date : 2025-01-01 Epub Date: 2025-01-08 DOI:10.1016/j.tjog.2024.07.021

Naoki Abe, Maki Goto, Sachino Kira, Mariko Matsuno, Sotaro Hayashi, Miho Oda, Lifa Lee, Yoko To, Satoshi Nishiyama, Hiroshi Tsujioka

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引用次数: 0

摘要

目的：本病例报告的主要目的是讨论妊娠前三个月出现呕吐症状的妊娠剧吐与脑肿瘤的区别。病例报告：1例患者在妊娠早期被诊断为妊娠剧吐并住院治疗。住院后因惊厥发生脑出血及脑疝。磁共振成像显示脑瘤。她接受了开颅手术和人工流产手术。尽管接受了放疗和化疗，她还是在9个月后去世了。结论：仅凭体格检查很难鉴别妊娠剧吐与脑肿瘤。当意识恶化疑似颅内器质性疾病时，应进行影像学检查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Malignant brain tumor in early pregnancy mistaken for hyperemesis gravidarum

Objectives

The main objective of this case report is to discuss the differentiation between hyperemesis gravidarum and a brain tumor in the presence of hyperemesis symptoms in the first trimester of pregnancy.

Case report

A patient was initially diagnosed with hyperemesis gravidarum in early pregnancy and was hospitalized. After hospitalization, cerebral hemorrhage and cerebral hernia due to convulsions occurred. Magnetic resonance imaging showed a brain tumor. She underwent a craniotomy and then an artificial abortion. Despite treatment with radiation and chemotherapy, she died 9 months later.

Conclusion

Differentiating between hyperemesis gravidarum and a brain tumor based on a physical examination alone is difficult. Imaging should be performed when exacerbation of consciousness with suspected intracranial organic disease occurs.

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来源期刊

Taiwanese Journal of Obstetrics & Gynecology OBSTETRICS & GYNECOLOGY-

CiteScore

3.60

自引率

23.80%

发文量

207

审稿时长

4-8 weeks

期刊介绍： Taiwanese Journal of Obstetrics and Gynecology is a peer-reviewed journal and open access publishing editorials, reviews, original articles, short communications, case reports, research letters, correspondence and letters to the editor in the field of obstetrics and gynecology. The aims of the journal are to: 1.Publish cutting-edge, innovative and topical research that addresses screening, diagnosis, management and care in women''s health 2.Deliver evidence-based information 3.Promote the sharing of clinical experience 4.Address women-related health promotion The journal provides comprehensive coverage of topics in obstetrics & gynecology and women''s health including maternal-fetal medicine, reproductive endocrinology/infertility, and gynecologic oncology. Taiwan Association of Obstetrics and Gynecology.