Isolated or non‐isolated duodenal obstruction: perinatal outcome following prenatal or postnatal diagnosis

Cohen–Overbeek, Titia E.; Grijseels, E. W. M.; Niemeijer, Nicolasine D; Hop, Wim C. J.; Wladimiroff, J. W.; Tibboel, Dick

doi:10.1002/uog.6135

Cited by 31 publications

(26 citation statements)

References 32 publications

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“…18 Polyhydramnios was in 54.3% of pregnancies in our study, less common than 69% (20/29) and 75% (12/16) in other 2 studies, respectively. 19,20 Accordingly, preterm birth was less frequent (39.3%) in our patients compared with that (72.%; 8/11) reported by Cohen-Overbeek et al 21 We believe that NIPT as an alternative to diagnostic testing would result in a substantially decreased number of invasive sample procedures. Some cases with preterm labor induced by invasive procedures would be saved.…”

Section: What Does This Study Add?mentioning

confidence: 71%

Application of noninvasive prenatal testing in pregnancies with fetal double bubble sign: Is it feasible?

Huang

Pan

et al. 2018

Prenatal Diagnosis

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Section: What Does This Study Add?mentioning

confidence: 71%

Application of noninvasive prenatal testing in pregnancies with fetal double bubble sign: Is it feasible?

Huang

Pan

et al. 2018

Prenatal Diagnosis

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“…Although DA has been thought to result from developmental failure of intestinal luminal canalization [18], the exact pathogenesis of DA remains incompletely understood. Previous studies have proposed ischemia or vascular accident as the possible etiology [19,20].…”

Section: Discussionmentioning

confidence: 99%

Risk of Down syndrome in duodenal atresia and atrioventricular septal defect: Is there an ethnic difference?

et al. 2020

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Purpose: Duodenal atresia (DA) and atrioventricular septal defect (AVSD) are well known ultrasonographic findings associated with Down syndrome. The risk of Down syndrome in fetuses with these anomalies has been reported as 30% to 40%. However, on the basis of our clinical experience, the risk of Down syndrome of DA may be lower in Korean population. To clarify this issue, we compared the risk of Down syndrome between cases with DA and AVSD. Materials and Methods: The study population consisted of neonates who were confirmed as DA or AVSD by postnatal diagnosis. Postnatal diagnosis was made by surgery, postnatal echocardiography, or autopsy. Medical record was reviewed retrospectively. Results: A total of 213 neonates with DA or AVSD were included: 67 cases with DA and 146 cases with AVSD. The risk of Down syndrome was 4.5% (3/67) in DA vs. 29.5% (43/146) in AVSD. When confining analysis to those whose karyotyping were not performed during antenatal period, the risk of Down syndrome were 7.9% (3/38) in DA and 35.4% (35/99) in AVSD. Conclusion: The risk of Down syndrome in cases with DA was much lower in Korean population than previously reported risk in the literature. The significance of some antenatal sonographic markers for Down syndrome may be different according to ethnicity.

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“…When DA is detected prenatally, many sources suggest the incidence of trisomy 21 is around 30 %, but some authors have reported incidences up to 41 % and 46 % [14–16]. Likewise, the incidence of chromosome anomalies is increased in EA, with an incidence of 6 to 10 % for whole chromosome aneuploidy and an additional 1 to 2 % for copy number variants [17].…”

Section: Discussionmentioning

confidence: 99%

Twin pregnancy complicated by esophageal atresia, duodenal atresia, gastric perforation, and hypoplastic left heart structures in one twin: a case report and review of the literature

Chaar¹,

Meyers

Tucker

et al. 2017

J Med Case Reports

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BackgroundThe antenatal diagnosis of a combined esophageal atresia without tracheoesophageal fistula and duodenal atresia with or without gastric perforation is a rare occurrence. These diagnoses are difficult and can be suspected on ultrasound by nonspecific findings including a small stomach and polyhydramnios. Fetal magnetic resonance imaging adds significant anatomical detail and can aid in the diagnosis of these complicated cases. Upon an extensive literature review, there are no reports documenting these combined findings in a twin pregnancy. Therefore we believe this is the first case report of an antenatal diagnosis of combined pure esophageal and duodenal atresia in a twin gestation.Case presentationWe present a case of a 30-year-old G1P0 white woman at 22-week gestation with a monochorionic-diamniotic twin pregnancy discordant for esophageal atresia, duodenal atresia with gastric perforation, hypoplastic left heart structures, and significant early gestation maternal polyhydramnios. In this case, fetal magnetic resonance imaging was able to depict additional findings including area of gastric wall rupture, hiatal hernia, dilation of the distal esophagus, and area of duodenal obstruction and thus facilitated the proper diagnosis. After extensive counseling at our multidisciplinary team meeting, the parents elected to proceed with radiofrequency ablation of the anomalous twin to maximize the survival of the normal co-twin. The procedure was performed successfully with complete cessation of flow in the umbilical artery and complete cardiac standstill in the anomalous twin with no detrimental effects on the healthy co-twin.ConclusionsPrenatal diagnosis of complex anomalies in twin pregnancies constitutes a multitude of ethical, religious, and cultural factors that come into play in the management of these cases. Fetal magnetic resonance imaging provides detailed valuable information that can assist in management options including possible prenatal intervention. The combination of a cystic structure with peristalsis-like movement above the diaphragm (for example, “the upper thoracic pouch sign”), polyhydramnios, and progressive distention of the stomach and duodenum should increase suspicion for a combined pure esophageal and duodenal atresia.

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Isolated or non‐isolated duodenal obstruction: perinatal outcome following prenatal or postnatal diagnosis

Abstract: Objectives To determine whether the pre-or postnatal diagnosis of either isolated or non-isolated duodenal obstruction (DO) is associated with different outcomes. Methods

Cited by 31 publications

References 32 publications

Application of noninvasive prenatal testing in pregnancies with fetal double bubble sign: Is it feasible?

Application of noninvasive prenatal testing in pregnancies with fetal double bubble sign: Is it feasible?

Risk of Down syndrome in duodenal atresia and atrioventricular septal defect: Is there an ethnic difference?

Twin pregnancy complicated by esophageal atresia, duodenal atresia, gastric perforation, and hypoplastic left heart structures in one twin: a case report and review of the literature

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