Question
Upon admission, the patient was found to have a significant swelling on the right side of the perineum, with a mixed echo mass visible inside, measuring approximately 75x60mm. The superficial border was clear, resembling a capsule, while the deep display was unclear. The internal echo was uneven, showing a mixture of liquid area, dark area, high echo, and isoechoic areas. No significant change in posterior echo was observed. CDFI examination showed that the internal blood flow signal of the above mass was rich, with surrounding coarse blood vessels and visible arterial and venous frequency spectrum.
Answer
A mixed echo mass on the right side of the perineum with abundant blood flow and visible arterial and venous frequency spectrum suggests further investigation with MR imaging. Admission diagnosis: 30 weeks + 5 days pregnant, 4 deliveries, intrauterine pregnancy; vulvar tumor with infection; G6PD deficiency. Treatment recommendations: initial symptomatic treatment followed by consideration of cesarean section and treatment of vascular malformation. Pay attention to the child’s physical resistance, seek timely medical examination and treatment at a professional hospital, and regularly perform routine checks while following the doctor’s guidance on medication.