tailieunhanh - Báo cáo y học: "Diabetic fetopathy associated with bilateral adrenal hyperplasia and ambiguous genitalia: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Diabetic fetopathy associated with bilateral adrenal hyperplasia and ambiguous genitalia: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Diabetic fetopathy associated with bilateral adrenal hyperplasia and ambiguous genitalia a case report Patou Tantbirojn 1 Mana Taweevisit2 Suchila Sritippayawan1 and Boonchai Uerpairojkit1 Address Department of Obstetrics and Gynecology Faculty of Medicine Chulalongkorn University Rama IV road Bangkok 10330 Thailand and 2Department of Pathology Faculty of Medicine Chulalongkorn University Rama IV road Bangkok 10330 Thailand Email Patou Tantbirojn - two_devil@ Mana Taweevisit - Suchila Sritippayawan - suchilaob@ Boonchai Uerpairojkit - boonchaiu@ Corresponding author Published 25 July 2008 Received 1 August 2007 Journal of Medical Case Reports 2008 2 251 doi 1752-1947-2-251 Accepted 25 July 2008 This article is available from http content 2 1 251 2008 Tantbirojn et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Many fetal malformations can occur because of maternal diabetes. However ambiguous genital organs have never been reported as an associated finding in the literature. This is the first report of associated ambiguous genital organ and bilateral adrenal hyperplasia in a case of diabetic fetopathy. Case presentation A 19-year-old Thai primigravida with familial history of diabetes mellitus DM was diagnosed as having gestational DM type 2 based on 100 g oral glucose tolerance test and was poorly controlled with insulin injections. Delayed targeted ultrasonography at 28 weeks gestation revealed multiple fetal anomalies. The woman underwent low transverse cesarean section at 30 weeks gestation due to preterm labor and transverse lie. The .