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Complete large bowel duplication with paraduodenal cyst: prenatal sonographic features
Author(s) -
Khanna Paritosh C.,
Gawand Vinit,
Nawale Ajita J.,
Deshmukh Tejaswini,
Merchant Suleman A.
Publication year - 2004
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.864
Subject(s) - medicine , cyst , gene duplication , pregnancy , prenatal diagnosis , radiology , gestation , fetus , biochemistry , chemistry , genetics , biology , gene
Objectives To illustrate diagnostic dilemmas while considering a diagnosis of complete large bowel duplication and duodenal duplication cysts. Methods A case of large bowel dilatation with a peripancreatic cyst was identified sonographically in a 27‐year‐old gravida 3 at 35 weeks of gestation, suffering from gestational diabetes and pregnancy‐induced hypertension. Results On the basis of sonographic findings of dilated, hyperperistaltic large bowel loops, and a large cyst with echo‐free contents near the pancreas, a diagnosis of large bowel obstruction with a paraduodenal cyst was considered. The findings were confirmed after postnatal ultrasonography. At the time of surgery, it proved to be a completely duplicated large bowel with a paraduodenal cyst. Conclusion Prenatal findings of a hugely dilated, hyperperistaltic large bowel should lead one to suspect/consider large bowel duplication. Associated cysts are likely to be bowel duplication cysts. Timely intervention can thus obviate potentially serious complications. Copyright © 2004 John Wiley & Sons, Ltd.