Congenital short-bowel syndrome: prenatal sonographic findings of a fatal anomaly
- PMID: 9460641
- DOI: 10.1002/(sici)1097-0096(199802)26:2<106::aid-jcu11>3.0.co;2-k
Congenital short-bowel syndrome: prenatal sonographic findings of a fatal anomaly
Abstract
The sonographic findings in a fatal case of congenital short-bowel syndrome are reported. Sonography at 11 weeks of gestation showed a 11 x 6 mm hyperechoic mass interpreted to be a midgut umbilical hernia. A repeat scan 2 weeks later showed an intact anterior abdominal wall, no umbilical herniation, and appropriate fetal growth. Forty-eight hours after full-term, vaginal delivery, the infant began vomiting bile and passing blood rectally. Imaging studies showed distended bowel loops without air-fluid levels and incomplete bowel obstruction. Laparotomy showed malrotation and short small bowel without volvulus. The infant died at 9 weeks of age. When delayed return of the midgut to the abdominal cavity is noted on prenatal sonograms, follow-up sonograms should be done throughout the second trimester, especially in patients with a family history of short-bowel syndrome, to search for dilated short bowel loops. If such loops are found, patients should be given options for pregnancy termination.
Similar articles
-
[Prenatal diagnosis and postpartal therapy of a rare sequela of gastroschisis: short bowel syndrome].Zentralbl Gynakol. 1991;113(9):527-31. Zentralbl Gynakol. 1991. PMID: 1927142 German.
-
Intrauterine midgut volvulus without malrotation: diagnosis from the 'coffee bean sign'.World J Gastroenterol. 2008 Mar 7;14(9):1456-8. doi: 10.3748/wjg.14.1456. World J Gastroenterol. 2008. PMID: 18322966 Free PMC article.
-
Prenatal ultrasonographic findings associated with short bowel syndrome in two fetuses with gastroschisis.Obstet Gynecol. 1996 Oct;88(4 Pt 2):676-8. doi: 10.1016/0029-7844(96)00137-8. Obstet Gynecol. 1996. PMID: 8841249
-
Neonatal intestinal obstruction associated with situs inversus totalis: two case reports and a review of the literature.J Med Case Rep. 2017 Sep 18;11(1):264. doi: 10.1186/s13256-017-1423-z. J Med Case Rep. 2017. PMID: 28918753 Free PMC article. Review.
-
Congenital short gut, malrotation, and dysmotility of the small bowel.J Pediatr Gastroenterol Nutr. 1990 Oct;11(3):411-5. doi: 10.1097/00005176-199010000-00023. J Pediatr Gastroenterol Nutr. 1990. PMID: 2123245 Review.
Cited by
-
Congenital short bowel syndrome: a case report and review of the literature.Can J Gastroenterol. 2008 Jan;22(1):71-4. doi: 10.1155/2008/590143. Can J Gastroenterol. 2008. PMID: 18209785 Free PMC article. Review.
-
Congenital short-gut syndrome.Pediatr Radiol. 2004 May;34(5):424-7. doi: 10.1007/s00247-003-1087-2. Epub 2003 Dec 16. Pediatr Radiol. 2004. PMID: 14676985
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources