The Gastrointestinal Tract and Abdominal Wall

Bronshtein, Moshe; Blazer, Shraga; Zimmer, Etan Z.

doi:10.1016/b978-1-4160-3264-9.50019-7

Cited by 15 publications

(11 citation statements)

References 300 publications

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“…(1) The differential diagnosis for this finding is broad and includes normal variant, primary gastrointestinal pathology, congenital viral infection, cystic fibrosis (CF), aneuploidy, and intra-amniotic bleeding. (2–7) Previous reports have also suggested an increased incidence of intrauterine growth restriction (IUGR) and intrauterine fetal demise (IUFD) in fetuses with echogenic bowel, with reported incidences ranging from 14.0–23.3% for IUGR and from 3.8–8.0% for IUFD.…”

Section: Introductionmentioning

confidence: 99%

Echogenic Bowel on Second-Trimester Ultrasonography

Goetzinger

Cahill

Macones

et al. 2011

Obstetrics &Amp; Gynecology

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Objective-To estimate if echogenic bowel diagnosed on second-trimester ultrasound has an independent risk association with intrauterine growth restriction (IUGR) and intrauterine fetal demise.Methods-This is a retrospective cohort study of all patients with singleton gestations who presented to our institution for second-trimester ultrasound between 1990 and 2008. Study groups were defined by the presence or absence of echogenic bowel. Primary outcomes were IUGR, defined as birth weight less than the 10 th percentile, and intrauterine fetal demise at 20 weeks or more of gestation. Univariable and multivariable logistic regression analyses were used to estimate the risk of intrauterine fetal demise and IUGR in fetuses with echogenic bowel. Analyses were repeated after excluding cases of aneuploidy, cytomegalovirus (CMV) infection, other major congenital anomalies, and abnormal second-trimester serum screening results.Results-Of 64,048 patients, the incidence of echogenic bowel was 0.4%. Of these, echogenic bowel was an isolated finding in 188 (72.3%) cases. There were 579 (0.9%) cases of intrauterine fetal demise and 8,173 (12.8%) cases of IUGR in the entire cohort. After excluding cases of aneuploidy and CMV infection, the incidence of IUFD was 7.3% in the echogenic bowel group compared to 0.9% in the non-echogenic bowel group, translating to an absolute risk increase (ARI) of 6.4%. The incidence of IUGR in the echogenic bowel group was 19.5% compared to 12.9% in the non-echogenic bowel group (ARI=6.6%). After controlling for potential confounders, echogenic bowel was signficantly associated with both IUFD (aOR 9.6, 95% CI 5.8-15.9) and IUGR (aOR 2.1, 95% CI 1.5-2.9) This risk association remained significant even when evaluating echogenic bowel as an isolated sonographic finding. Conclusion-The presence of echogenic bowel on ultrasound is independently associated with an increased risk for both IUGR and IUFD. Serial growth assessment and antenatal testing may be warranted in these patients.

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Section: Introductionmentioning

confidence: 99%

Echogenic Bowel on Second-Trimester Ultrasonography

Goetzinger

Cahill

Macones

et al. 2011

Obstetrics &Amp; Gynecology

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“…4. The embryonic dysgenesis theory, proposed by Hartwig [3,15,16,17] Lately, different authors [18,19] described the two different phenotypes, according to the placental attachment: placento-cranial and placento-caudal type.…”

Section: Literature Review and Case Discussionmentioning

confidence: 99%

Limb Body Wall Complex - case presentation and literature review

Socolov¹,

Terinte²,

Gorduza³

et al. 2009

Rom J Leg Med

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Limb Body Wall Complex (LBWC) is a combination of development abnormalities involving the neural tube, body wall and the limbs. There are few cases in literature, and our case is only the 2 nd presented from Romania. The patient was a 31 year-old women G1P0A0 with a 33 week pregnancy which had no prenatal care. The ultrasound scan described several abnormalities, including: large abdominal wall defect, with difficult to identify pelvic organs and ambiguous genitalia; enlarged stomach with suspicion of intestinal atresia; scoliosis and spida bifida occulta with bilateral ventriculomegalia; one inferior limb absent; short umbilical cord with single artery. After therapeutic termination of pregnancy, the abnormalities were confirmed and polycystic liver and kidneys were also mentioned. Also bilateral cardiac ventriculomegalia and left superior pulmonary lobe hemorrhage were identified, and imperforated anus and pancreas agenesia. No abnormalities were found at karyotype examination (46, XY). The case presented is a placento-caudal phenotype of a LBWC syndrome, which had as a special element the polycystic kidney and hepatic disease.

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“…Rutin 2. trimester US incelemesi sırasında ekojenik barsak prevalansı %0,2-1,8 arasındadır [23]. Etyolojisinde anöploidi, amnion sıvısı içine kanama, konjenital enfeksiyonlar, kistik fibrozis ve gastrointestinal atreziler gibi çok sayıda neden bulunmaktadır [24][25][26].…”

Section: Ekojenik Barsakunclassified

Fetal Abdominal Anomaliler

Cansu¹

2017

Trd Sem

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GİRİŞFetal abdominal anomaliler ayrıntılı ultrasonografik (US) inceleme sırasında sık karşılaşılmakta olup US incelemenin duyarlılığı değerlendirilen sisteme ve anomalinin şidde-tine göre değişkenlik göstermektedir. Rutin obstetrik US performansını değerlendiren en kapsamlı araştırmalardan Eurofetus çalışma-sında, gastrointestinal sistem anomalilerinde US'nin duyarlılığı %54 iken, üriner sistemde %89 olarak tespit edilmiştir [1]. Gebelik haftasına göre normal fetal abdominal organların US görüntülerinin bilinmesi gelişimsel anomalilerin tanımlanması açısından büyük önem taşımaktadır. Bu bölümde fetal karın duvarı, gastrointestinal sistem ve üriner sistem organlarının normal US özellikleri ve anomalileri ayrı başlıklar altında anlatılacaktır.

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The Gastrointestinal Tract and Abdominal Wall

Cited by 15 publications

References 300 publications

Echogenic Bowel on Second-Trimester Ultrasonography

Echogenic Bowel on Second-Trimester Ultrasonography

Limb Body Wall Complex - case presentation and literature review

Fetal Abdominal Anomaliler

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