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Congenital short‐bowel syndrome: Prenatal sonographic findings of a fatal anomaly
Author(s) -
Aviram R.,
Erez I.,
Dolfin T. Z.,
Katz S.,
Beyth Y.,
Tepper R.
Publication year - 1998
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(199802)26:2<106::aid-jcu11>3.0.co;2-k
Subject(s) - medicine , laparotomy , pregnancy , volvulus , bowel obstruction , surgery , vomiting , short bowel syndrome , intestinal malrotation , gestation , prenatal diagnosis , umbilical hernia , hernia , fetus , obstetrics , parenteral nutrition , genetics , biology
The sonographic findings in a fatal case of congenital short‐bowel syndrome are reported. Sonography at 11 weeks of gestation showed a 11 × 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. © 1998 John Wiley & Sons, Inc. J Clin Ultrasound 26 : 106–108, 1998.