Patient's question:
Pelvic examination upon admission with high-frequency probe; Significant swelling on the right side of the perineum, with mixed echo masses visible within, measuring approximately 75x60mm. The superficial boundary is relatively clear, appearing to have a capsule. The deep part is unclear, with heterogeneous internal echoes, including areas of hypoechoic, hyperechoic, and isoechoic mixed regions. No significant changes were observed in the posterior echo.CDFI: The internal blood flow signal of the aforementioned mass is markedly rich, with thick, coarse blood vessels surrounding it. Arterial and venous spectral patterns are visible.
The mixed echo mass on the right side of the perineum is rich in blood flow, with visible arterial and venous spectral patterns. It is recommended to undergo further examination with MRI.
Admission diagnosis 1: Gravida 4, Para 1, Intrauterine pregnancy at 30 weeks + 5, cephalic presentation.
2: Perineal mass with infection.
3: G6PD deficiency.
Doctor's answer:
In this case, it is often necessary to actively treat the symptoms first before considering surgery, such as a cesarean section, followed by further treatment for vascular malformations. Children have weaker immune systems, so they are more prone to developing vascular malformations. For parents, it is important not to panic and should promptly take their child to a professional hospital for examination and treatment. Additionally, regular check-ups should be conducted for the child, and medication should be administered under the guidance of a doctor.