Abdominal wall defects: two‐ versus three‐dimensional ultrasonographic diagnosis.

Abstract

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 threedimensional 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.

Síndrome de abdomen en ciruela pasa y dextrocardia, asociación infrecuente

“…La dilatación vesical sería secundaria a anomalías del músculo liso y del tejido conectivo y se asocian a oligohidramnios. Bonilla-Musoles y col (15), describen que la dilatación vesical se debería unas veces a estenosis uretral, otras veces a agenesia uretral, valvas uretrales o persistencia de la cloaca. Siempre se acompaña de oligohidramnios.…”

“…La criptorquidia es descrita en el 90% de los casos con testículos normales o atróficos (15). Zugor y col (16), reportaron 16 casos de síndrome de Pune belly, 68,8% de los cuales presentaron criptorquidia.…”

“…Bonilla-Musoles y col (15), reportaron dos casos de síndrome de Prune belly diagnosticados durante la gestación, con el uso de ecografía de dos dimensiones. Osborne y col (14), estudiando anomalías congénitas tipo dilatación de las vías urinarias, mediante estudios ecográficos en 20 fetos y durante 10 años, en 8 se diagnosticó síndrome de Prune belly.…”

Left Lateral Gastroschisis with Liver Agenesis

“…The intestines directly exposed to amniotic fluid are matted together, hence alpha-fetoprotein levels are high. In 25% of cases gastrointestinal problems are associated [7]. Partial agenesis of liver have been reported with reported incidence of right lobe agenesis common than the left lobe [9].…”

“…Gastroschisis occurs more frequently in mothers who are exposed to agricultural chemical atrazine [6]. Gastroschisis is not associated with chromosomal anomalies and is a sporadic malformation [7].…”