Abdominal wall defects: two- versus three-dimensional ultrasonographic diagnosis.
We diagnosed 12 cases of abdominal wall defects. The cases diagnosed occurred in 6 fetuses with omphalocele, 3 with gastroschisis, 2 with prune-belly syndrome, and 1 with pentalogy of Cantrell. Except for 1 case of gastroschisis first diagnosed on the basis of three-dimensional ultrasonography at 14 weeks' gestation, all cases were first detected by two-dimensional transabdominal ultrasonography and then reevaluated with three-dimensional ultrasonography using multiplanar and orthogonal plane modes. Although the original diagnosis was accurate on the basis of two-dimensional ultrasonography in 11 of 12 cases, additional information was obtained by three-dimensional scanning in all cases. Our experience suggests that in cases in which abdominal wall defects are first detected by two-dimensional ultrasonographic scanning, the additional information gained by complementary three-dimensional ultrasonographic scanning can be useful for more-efficient counseling and postnatal therapeutic planning.
Bonilla-Musoles
F
F
Department of Obstetrics and Gynecology, University of Valencia School of Medicine, Spain.
Machado
L E
LE
Bailão
L A
LA
Osborne
N G
NG
Raga
F
F
D000009:Abdominal Muscles / Q000002:abnormalities* / Q000000981:diagnostic imaging; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging; D020139:Gastroschisis / Q000000981:diagnostic imaging; D006554:Hernia, Umbilical / Q000000981:diagnostic imaging; D006801:Humans; D021621:Imaging, Three-Dimensional; D011247:Pregnancy; D011535:Prune Belly Syndrome / Q000000981:diagnostic imaging; D016216:Ultrasonography, Prenatal