Antenatal predictors of intestinal pathologies in fetal bowel dilatation

Abstract

AimFetal bowel dilatation (FBD) in the late trimester of pregnancy can be related with varies of prognosis. Our aims were to obtain antenatal factors that might have relevance for the distinct prognosis with FBD.MethodsSeven features of 68 pregnancies presented with FBD were assessed. The best cut‐off value to predict intestinal outcomes was selected using receiver‐operating characteristics curves, and the effective variables were included into a logistic regression model.ResultsThe best cut‐off valves to predict intestinal pathologies were 14.5 mm of fetus dilated loop and 37.7 weeks of gestational age at delivery, respectively. The congenital gastrointestinal tract anomalies included 24 cases (92.3%) of intestine atresia, 1 case (3.85%) of small intestine volvulus and 1 case (3.85%) of midgut malrotation.ConclusionFetal dilated loops and gestational age at delivery are both an independent risk factor for predicting intestinal pathologies of newborns, which should arouse high attention.

Kaposiform hemangioma of jejunum in a newborn: A case report and review of literature

“…In some cases and with experienced ultrasound technicians, it is possible to observe fetal gastric dilation. In cases of type I stenosis or atresia, the amniotic fluid may be within normal limits and the symptoms may start later, as in the case reported [ 2 ] herein.…”

“…Despite the aggressiveness described, all the reported cases presented survival after the complete resection of the lesion. In one of the selected cases, where there was a diffused involvement of the gastrointestinal tract, the use of vincristine and propranolol associated with surgical treatment caused the remission of the symptoms of anemia and abdominal pain [ 2 , 6 ].…”

“…The presence of bilious vomiting in the newborn is associated with surgical pathologies, most commonly with intestinal atresia [ 1 ]. However, some rare differential diagnoses must be remembered [ 2 ]. Intestinal kaposiform hemangioma – so far, not described in the literature in children under one month – is a possibility.…”

Intrauterine midgut volvulus as a rare cause of intestinal obstruction: a case report

“…described 68 cases with prenatal diagnosis of fetal bowel dilatation. They found that the congenital gastrointestinal tract anomalies included 24 cases (92.3%) of intestinal atresia, one case (3.85%) of small intestine volvulus and one case (3.85%) of malrotation [ 11 ]. In the case we presented, there was only fetal bowel dilatation.…”

Intrauterine intestinal volvulus without malrotation presenting neonatal abdominal compartment syndrome

“…Intestinal volvulus without malrotation is one of the differential diagnoses of fetal intestinal dilatation [1] . This is an extremely rare condition known to cause abdominal compartment syndrome in newborns [2] , [3] , [4] .…”