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患者28岁,孕9个月初产妇。因近两个月来腹部增大迅速入院。检查:宫高32cm,腹围85cm,胎位胎心音不清。X线羊膜腔造影诊断单胎、无脑儿。B超检查:宫内未见胎头光环,仅见一团状结构与胎儿颈部相连,未见胎儿肝脏影象,于胎儿脐部向外突出一孤立的5.4×5.4×5.3cm之近似球形肿块,形态规则,边界完整。肿块内为密集均匀之光点,中间有管腔结构和胆囊回声。肿块旁与腹壁处可见脐带回声。胎盘位子宫底部,羊水9.4cm,可见胎心搏动。B超诊断:宫内妊娠单胎、头位、羊水过多、无脑儿并肝脏膨出。患者入院后行人工破膜加催产素引产,在臀助产下娩
Patients 28 years old, 9 months pregnant primipara. Due to the rapid increase of abdomen in recent two months. Check: Palace height 32cm, abdominal circumference 85cm, fetal fetal heart sound unclear. X-ray amniocentesis diagnosis of single-child, no brain children. B-ultrasound: no intrauterine aura fetal ring, only see a ball-like structure connected with the fetus neck, no fetal liver image, protruding in the umbilical out of an isolated 5.4 × 5.4 × 5.3cm approximate spherical mass , Rules of form, complete borders. Massive uniform mass within the luminescent spot, the middle of the lumen structure and gallbladder echo. Abdominal mass and abdominal wall can be seen at the umbilical cord echo. Placenta at the bottom of the palace, amniotic fluid 9.4cm, we can see fetal heart rate. B-ultrasound: intrauterine pregnancy singleton, head position, polyhydramnios, anencephaly and liver bulging. Patients admitted to the hospital after artificial rupture of membranes plus oxytocin abortion, delivery in the hip midwifery