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EP06.16: Antenatal diagnosis of small bowel (mid‐gut) non‐rotation in a fetus with isomerism
Author(s) -
Sennaiyan U.,
Atkinson M.,
Alahakoon I.
Publication year - 2018
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.19861
Subject(s) - medicine , congenital diaphragmatic hernia , abdomen , anatomy , fetus , radiology , pregnancy , biology , genetics
Objectives: To show the Crystal Vue imaging in a case of caudal regression syndrome with skeleton deformity. Methods: We use two-dimension, colour Doppler, Crystal Vue and HCT-3D to examine the fetus of caudal regression syndrome with skeleton deformity. The mother was 27 years old with oligoamnios, G3P1. Gestational week was 25 weeks. Results: 2D and colour Doppler showed bilateral kidney agenesis and sirenomelia. Reproductive organ, urinary bladder and stomach couldn’t be seen. Umbilical artery and abdominal aorta connected directly. Bilateral iliac artery couldn’t be seen. Skeleton system couldn’t be showed clearly. 3D and MRI didn’t provide new information about skeleton system. Crystal Vue showed abnormal curved spine with several thoracic and lumbar hemivertebras, 11 right ribs with 5th to 7th fused, 7 left ribs, 2 femora, 3 shinbones and fused feet. The sacrococcygeal vertebras couldn’t be showed clearly. HCT-3D showed normal skeletal upper extremities. Spinal structure showed was similar as seen by Crystal Vue. The sacrococcygeal vertebras couldn’t be seen clearly, too. 4 shinbones and fused feet were seen. The right 5th and 6th ribs fused. Conclusions: Samsung WS80A Crystal Vue could obtain excellent skeleton imaging in caudal regression syndrome with oligoamnios. The imaging could lead to the similar diagnosis to HCT-3D prenatally. As it’s non-invasive and non-radioactive, it could be used as an important methods in fetal severe skeleton deformity with oligoamnios.