Prenatal diagnosis of extrahepatic biliary duct atresia.
A rare case of extrahepatic biliary atresia was diagnosed by a combination of prenatal ultrasound and measurements of fetal digestive enzymes in amniotic fluid. Ultrasound at 15 and 18 weeks' gestation failed to detect the gall bladder, and amniotic fluid digestive enzyme values were below the fifth percentile. The patient decided to terminate the pregnancy. Post-abortal pathological examination confirmed the diagnosis.
Ben-Ami
Moshe
M
Department of Obstetrics and Gynecology, Poriya Hospital, Rappoport Faculty of Medicine, Haifa, Lower Galilee, Israel. benamimo@netvision.net.il
Perlitz
Yuri
Y
Shalev
Stavit
S
Shajrawi
Ibrahim
I
Muller
Francoise
F
D000025:Abortion, Eugenic; D000328:Adult; D000469:Alkaline Phosphatase / Q000378:metabolism; D000653:Amniotic Fluid / Q000201:enzymology; D001656:Biliary Atresia / Q000000981:diagnostic imaging*; D005260:Female; D005704:Gallbladder / Q000002:abnormalities / Q000000981:diagnostic imaging; D006801:Humans; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D016216:Ultrasonography, Prenatal; D005723:gamma-Glutamyltransferase / Q000378:metabolism
D005723:gamma-Glutamyltransferase; D000469:Alkaline Phosphatase