Contribution of Ultrasonography in the Diagnosis of Achalasia

Bergami, G; Fruhwirth, Rodolfo; Mario, M Di; S, Fasanelli

doi:10.1097/00005176-199201000-00017

Cited by 8 publications

(2 citation statements)

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“…Of those with a "palpable mass" on examination, only seven cases have reported an associated size on postnatal imaging. 9,16,22,29,[32][33][34] These ranged between 3 � 3 cm 33 and 7 � 9 cm 34 (Supplemental Appendix C). Fifteen cases were evaluated for neuroblastoma by checking neonatal urinary VMA levels (with or without urinary homovanillic acid levels) and 14 cases were evaluated for neonatal adrenal insufficiency by checking serum cortisol and ACTH levels (with or without renin and aldosterone levels).…”

Section: Resultsmentioning

confidence: 99%

Imaging and outcomes of fetal adrenal hemorrhage: A systematic review

Pham,

Biswas,

Levy

et al. 2023

Prenatal Diagnosis

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ObjectiveTo describe prenatal and postnatal imaging findings of fetal adrenal hemorrhage (FAH) and its associated perinatal outcomes, including frequency of postnatal surgical intervention.MethodA systematic literature review of seven electronic databases was conducted from inception until January 2022, with 2008 articles identified reporting prenatally identified fetal adrenal masses. Studies with confirmed FAH diagnosis were included. Quality and risk assessment were evaluated.ResultsThirty‐five studies, including 102 FAH cases, were analyzed. FAH was commonly described as cystic (28/90, 31%), anechoic (25/90, 28%), or mixed echogenic (14/90, 16%) on ultrasound. Outcome data were available for 65 cases (64%) of FAH: 9% (6/65) resolved prenatally, 35% (23/65) resolved postnatally, 34% (22/65) regressed in size after birth, and 22% (14/65) persisted postnatally. Overall, 25% (16/65) of cases underwent postnatal surgical intervention. Neuroblastoma was suspected in all 16 surgical cases. Only one case (1/16, 6%) confirmed a cystic hematoma with microscopic islets of neuroblastoma in situ on pathology.ConclusionPrenatal diagnosis of FAH is challenging due to the significant heterogeneity of ultrasound findings. Final pathology did not support the need for surgical intervention. Persistent postnatal FAH warrants shared decision making for further management based on the clinical presentation.

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Section: Resultsmentioning

confidence: 99%

Imaging and outcomes of fetal adrenal hemorrhage: A systematic review

Pham,

Biswas,

Levy

et al. 2023

Prenatal Diagnosis

View full text Add to dashboard Cite

show abstract

“…3,21,22 In 1 child, transabdominal sonography clearly showed the thickening of the muscular wall and the dilatation of the distal esophagus. 21 In another case, transabdominal sonography showed a large amount of residue in the distal esophagus in a 42-year-old patient with achalasia. 22 In a double-blind prospective study, Tanomkiat and Changchitnan 3 compared transabdominal sonography with upper gastrointestinal tract x-ray series (barium-swallow study) for evaluating GE junction disease.…”

Section: Discussionmentioning

confidence: 99%