[Prenatal and neonatal management of digestive tract duplications. Diagnostic difficulties and therapeutic implications].
OBJECTIVE
To insist on the difficulty of the antenatal diagnosis of digestive duplications, to show the importance of a complete malformative screening, and the need for immediate management at birth.


METHODS
A cystic duplication of the tongue, a duplication, abdomino-thoracic transdiaphragmatic, and a duplication of the small bowel are described and compared with cases previously reported in th literature.


RESULTS
Antenatal evacuation puncture of a duplication of the tongue must be reserved for exceptional situations. Foregut duplications are often associated with other malformations. The duplication of the small intestine can exceptionally expose to a mechanical complication, mostly during the postnatal period, which may require emergency surgery.


CONCLUSIONS
Duplications of the alimentary tract should be detectable on prenatal ultrasound examination. A complete antenatal malformative screening is required and in utero transfer is warranted because emergency surgery may be required.
Becmeur
F
F
Service de Chirurgie Infantile, Hôpitaux Universitaires de Strasbourg.
Viville
B
B
Langer
B
B
Christmann
D
D
Dreyfus
M
M
Favre
R
R
Sauvage
P
P
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging* / Q000235:genetics / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000002:abnormalities*; D007621:Karyotyping; D008297:Male; D008643:Mesentery / Q000002:abnormalities*; D013270:Stomach / Q000002:abnormalities*; D014059:Tongue / Q000002:abnormalities*; D016216:Ultrasonography, Prenatal