| Azygous continuation of the interrupted inferior vena cava: a clue to prenatal diagnosis of the cardiosplenic syndromes. | |
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MedLine Citation:
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PMID: 7609017 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We reviewed the prenatal sonographic findings in 11 consecutive fetuses diagnosed as having abdominal situs inversus (stomach on the right) at a single institution. Interruption of the inferior vena cava with azygous continuation was diagnosed by the "double vessel" sign. This sign was considered to be present in nine cases, including all eight fetuses who proved to have the polysplenia syndrome. The only false positive diagnosis of IVC interruption with azygous continuation was made prospectively in one fetus with asplenia. At autopsy, this fetus showed a large left-sided superior vena cava. We conclude that, in combination with cardiac anomalies or situs abnormalities, interruption of the IVC with azygous continuation should suggest a specific diagnosis of a cardiosplenic syndrome, especially polysplenia. This information should be helpful in patient counseling and management. |
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Authors:
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R C Sheley; D A Nyberg; R Kapur |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Volume: 14 ISSN: 0278-4297 ISO Abbreviation: J Ultrasound Med Publication Date: 1995 May |
Date Detail:
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Created Date: 1995-08-16 Completed Date: 1995-08-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8211547 Medline TA: J Ultrasound Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 381-7 Citation Subset: IM |
Affiliation:
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Department of Ultrasound, Swedish Hospital Medical Center, Seattle, Washington, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Azygos Vein / abnormalities*, ultrasonography* Collateral Circulation Female Fetal Diseases / ultrasonography* Follow-Up Studies Gestational Age Heart Block / ultrasonography Heart Defects, Congenital / ultrasonography* Heart Septal Defects / ultrasonography Humans Infant, Newborn Pregnancy Prospective Studies Retrospective Studies Situs Inversus / ultrasonography Spleen / abnormalities*, ultrasonography* Stomach / abnormalities, ultrasonography Syndrome Ultrasonography, Prenatal* Vena Cava, Inferior / abnormalities*, ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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