Prenatal sonographic diagnosis of Hirschsprung's disease.

Vermesh, Michael; Mayden, Kara L.; Confino, Edmond; Giglia, Robert V.; Gleicher, Norbert

doi:10.7863/jum.1986.5.1.37

Cited by 28 publications

(21 citation statements)

References 3 publications

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“…Nonobstructive bowel dilatation is a rare entity and may be the result of intrauterine fetal compromise, congenital chloride diarrhea, Hirschsprung disease, congenital pseudoobstruction, and microvillous inclusion disease. Prenatal diagnosis is difficult and may consist of diffuse dilated bowel loops, polyhydramnios, and echogenic bowel . Microvillous inclusion disease is a fatal congenital disorder of the intestine.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the data in the literature refer to obstructive bowel disease, which includes congenital intestinal atresia, volvulus and malrotation, cystic fibrosis, and meconium ileus. Scarce data exist in the literature on nonobstructive bowel dilatation, and only a few cases have been reported on congenital chloride diarrhea, congenital pseudoobstruction, fetal compromise, and Hirschsprung disease …”

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confidence: 99%

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Nonobstructive Diffuse Dilated Bowel Loops: Prenatal Diagnosis, Fetal Characteristics and Neonatal Outcomes

et al. 2016

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Nonobstructive Diffuse Dilated Bowel Loops: Prenatal Diagnosis, Fetal Characteristics and Neonatal Outcomes

et al. 2016

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“…Nevertheless, significant antenatal bowel dilatation with nonobstructive conditions, such as congenital chloride diarrhea and Hirschsprung disease, has been described [2,3]. Over the last few years, on prenatal ultrasonography we observed bowel dilatation without evidence of obstruction or other bowel disease.…”

Section: Introductionmentioning

confidence: 85%

“…The diagnosis of intestinal dilatation does not necessarily imply obstruction of the gut, since nonobstructive conditions, such as congenital chloride diarrhea and Hirschsprung's disease have been reported with bowel dilatation [2,3]. Recently, fetal hepatorenal syndrome has also been reported to be associated with in-utero intestinal dilatation [9].…”

Section: Discussionmentioning

confidence: 99%

Nonobstructive Dilatation of the Fetal Bowel in Twin Gestations

et al. 2003

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Objective: To assess the possible association of in-utero bowel dilatation and circulatory changes with fetal compromise. Methods: A retrospective survey of all ultrasound examinations was performed at the Chaim Sheba Medical Center (n ∼10,000) between 1995 and 1999. Cases with ultrasonographic evidence of bowel dilatation, but without evidence of obstruction, were recruited. In utero Doppler studies of umbilical, splenic, superior mesenteric arteries, and middle cerebral artery (MCA) were performed: systolic/diastolic ratio (S/D), pulsatility index (PI) and resistance index (RI) were calculated in the above arteries and compared with those of normal fetuses. Nonstress test and cord blood pH were also assessed. Neonatal medical records were procured. Results: Four fetuses, all of who were products of twin gestations, showed bowel dilatation without evidence for obstruction. Three of the four fetuses were small-for-gestation-age (SGA) and of bichorionic gestation, while one was of monochorionic twin gestation, with twin transfusion syndrome. In all three SGA fetuses, Doppler studies revealed increased peripheral resistance in the umbilical artery and adaptive peripheral vasodilatation in the fetal midcerebral, splenic and superior mesenteric arteries. In all cases, an abnormal nonstress test led to prompt delivery. Conclusions: Acute fetal bowel dilatation in a twin gestation is associated with abnormal splanchnic and gut perfusion that may lead to fetal compromise.

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“…It rarely presents prenatally, yet if it does, it may involve the entire colon and terminal ileum [1,2,3]. HD has been prenatally diagnosed in only three reported cases using ultrasound, two of which showed total colonic aganglionosis with ileal involvement [2,3,4]. Prenatal ultrasound findings associated with HD are secondary effects of the more distal obstruction including polyhydramnios, dilatation of small bowel loops upstream of the area of aganglionosis, and increased fetal abdominal distension.…”

Section: Discussionmentioning

confidence: 99%

Prenatal MRI Diagnosis of Hirschsprung's Disease at 29 Weeks' Gestational Age in a Fetus with Heterotaxy and Polysplenia Syndrome

Meyers¹,

Crombleholme²

2015

Fetal Diagn Ther

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Prenatal diagnosis of Hirschsprung's disease is extremely rare and has only been suggested by ultrasound. This report presents a 29-week fetus with heterotaxy and polysplenia syndrome and prenatal diagnosis of nonrotation of the bowel and Hirschsprung's disease by fetal MRI. None of the previously reported findings in the literature suggestive of distal bowel obstruction were noted in this case. Rather, there was a diminutive size of the rectosigmoid compared to the rest of the colon. Fetal MRI has become an important tool in the fetal diagnosis of multiple anomalies and can aid in perinatal and immediate postnatal care of patients, such as those with Hirschsprung's disease.

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Prenatal sonographic diagnosis of Hirschsprung's disease.

Cited by 28 publications

References 3 publications

Nonobstructive Diffuse Dilated Bowel Loops: Prenatal Diagnosis, Fetal Characteristics and Neonatal Outcomes

Nonobstructive Diffuse Dilated Bowel Loops: Prenatal Diagnosis, Fetal Characteristics and Neonatal Outcomes

Nonobstructive Dilatation of the Fetal Bowel in Twin Gestations

Prenatal MRI Diagnosis of Hirschsprung's Disease at 29 Weeks' Gestational Age in a Fetus with Heterotaxy and Polysplenia Syndrome

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