In utero sonographic findings in a fetus with a hereditary multiple intestinal atresia.
Hereditary multiple intestinal atresia is a rare syndrome with an autosomal recessive pattern of inheritance. We described the antenatal sonographic appearance of a case of hereditary multiple intestinal atresia. A markedly dilated cystic mass noncommunicating with the stomach was observed in the right upper quadrant of the fetal abdomen by an ultrasound scan at 30 weeks of gestation. Real-time sonographic evidence of strong peristaltic activity was not demonstrated. The infant weighing 2315 g was delivered at 35 week's gestation with Apgar scores of 7 and 9 at 1 and 5 minutes, respectively. At laparotomy, a prepyloric septal atresia, multiple-level small intestinal atresias and a rectal diaphragm were discovered. The infant died 52 days after the operation. The sonographer should be aware that a proximal bowel distention can be associated with hereditary multiple intestinal atresia in patients with a family history of an affected sibling.
Chou
Min-Min
MM
Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taiwan, ROC. mmchou@vghtc.vghtc.gov.tw
Tseng
Jenn-Jhy
JJ
Ho
Esther Shih-Chu
ES
Peng
Hai-Chi
HC
D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000000981:diagnostic imaging* / Q000601:surgery; D011247:Pregnancy; D016216:Ultrasonography, Prenatal