Antenatal intestinal vascular accident with subsequent small bowel atresia: case report.
A woman was referred at 25 weeks' gestation with decreased fetal movements. Ultrasound revealed a large solid fetal abdominal mass and gross fetal ascites. Amniocentesis and viral titers were normal. On subsequent ultrasound examinations, the mass and ascites slowly disappeared, but a small bowel obstruction developed. Spontaneous labor occurred at 35 weeks and the child was born with a distended abdomen. At laparotomy there was type 3 jejunal atresia, indicating that the fetal mass and ascites were secondary to this antenatal small bowel ischemia.
Kimber
C P
CP
Fetal Diagnostic Unit/Department of Paediatric Surgery, Monash Medical Centre, Melbourne, Australia.
MacMahon
R A
RA
Shekleton
P
P
Yardley
R
R
D000328:Adult; D001201:Ascites / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology; D018572:Disease-Free Survival; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D007421:Intestine, Small / Q000002:abnormalities* / Q000000981:diagnostic imaging; D007579:Jejunal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D007813:Laparotomy; D011247:Pregnancy; D016216:Ultrasonography, Prenatal