| A case series of gastrointestinal abnormalities in fetuses with echogenic bowel detected during the antenatal period. | |
| | |
MedLine Citation:
|
PMID: 14626795 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The objective was to evaluate the incidence of gastrointestinal abnormalities amongst those fetuses with antenatally diagnosed echogenic bowel (EB). MATERIALS AND METHODS: A retrospective review of all cases delivered from April 2002 to March 2003 with antenatally diagnosed EB was conducted. This was defined as bowel that appeared as echogenic as (if not greater than) the iliac bone on a real-time image. The postnatal outcomes with regard to gastrointestinal abnormalities, till their discharge, were noted. RESULTS: Of the 13,941 patients delivered, there were 70 cases with antenatally diagnosed EB, giving an incidence of 70/13,941 or 0.50%. Of these, 6 defaulted follow-up and 1 had a mid-trimester termination of pregnancy at 21 weeks' gestation for social reasons. Of the remaining 63 cases with EB, 2 were stillbirths at 31 weeks and 35 weeks of gestation, respectively. Three fetuses (3/63 or 4.76%) were diagnosed with gastrointestinal abnormalities. Meconium plug syndrome was diagnosed postnatally in 2 cases, of which, 1 resolved with conservative management while the other required an emergency laparotomy. Intestinal atresia was diagnosed in the postmortem of one of the stillbirths. There was evidence of intrauterine growth retardation (IUGR) in both the stillbirth and the fetus that had required laparotomy. None of the 3 fetuses exhibited clinical features of aneuploidy. CONCLUSION: As the quoted background risk for gastrointestinal pathology is 0.23%, an increased incidence (4.76%) is observed in those fetuses found to have antenatal EB. It is possible that the presence of IUGR is associated with a worse prognosis. Further prospective studies are needed to verify this association. |
| | |
Authors:
|
H H Tan; V C Tan; G S Yeo |
Related Documents
:
|
2614035 - The prevention of inadvertent hypothermia during fetal surgery: an ovine model. 3884115 - Intrauterine hydrocephalus and ventriculomegaly: associated anomalies and fetal outcome. 14770395 - Ultrasonographic measurement of fetal nasal bone in a low-risk population at 19-22 gest... 3179565 - Effects of piper sp extract on pregnancy in rats. 9300185 - Emergency contraception: a second chance at preventing adolescent unintended pregnancy. 7880335 - Comparative estimates of neonatal gestational maturity by electrographic and fetal ultr... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Annals of the Academy of Medicine, Singapore Volume: 32 ISSN: 0304-4602 ISO Abbreviation: Ann. Acad. Med. Singap. Publication Date: 2003 Sep |
Date Detail:
|
Created Date: 2003-11-20 Completed Date: 2004-03-12 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 7503289 Medline TA: Ann Acad Med Singapore Country: Singapore |
Other Details:
|
Languages: eng Pagination: 649-52 Citation Subset: IM |
Affiliation:
|
Department of Maternal Fetal Medicine, KK Women's & Children's Hospital, 100 Bukit Timah Road, Singapore 229899. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abnormalities, Multiple
/
epidemiology,
ultrasonography Adult Female Fetal Diseases / epidemiology*, ultrasonography Fetal Growth Retardation / epidemiology*, ultrasonography Humans Incidence Infant, Newborn Intestinal Obstruction / epidemiology*, ultrasonography Intestines / abnormalities* Maternal Age Meconium / ultrasonography Parity Pregnancy Pregnancy Outcome* Pregnancy Trimester, Second Pregnancy, High-Risk Prenatal Care / methods Prognosis Risk Factors Singapore / epidemiology Ultrasonography, Prenatal |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A case series of pre-viable severe twin-twin transfusion syndrome.
Next Document: Severe newborn encephalopathy unrelated to intrapartum hypoxic events: 3 case reports.