Fetal Ascites with Jejunal Atresia and Apple Peel Deformity A Case Report

被引：0

作者：

Wilson, Alexandra

Porreco, Richard P.

机构：

[1] Presbyterian St Lukes Med Ctr, Dept Maternal Fetal Med, Denver, CO USA

[2] Rocky Mt Hosp Children, Denver, CO USA

来源：

JOURNAL OF REPRODUCTIVE MEDICINE | 2017年 / 62卷 / 7-8期

关键词：

apple peel small bowel syndrome; apple peel syndrome; apple-peel intestinal atresia; atresia; intestinal; congenital intestinal atresia; familial apple peel jejunal atresia; jejunal atresia; apple-peel deformity; fetal ascites; fetal paracentesis; intestinal atresia; Stromme syndrome; SUPERIOR MESENTERIC-ARTERY; DUODENAL ATRESIA; ILEAL ATRESIA; CONFIGURATION; BOWEL; ILEUM;

D O I：

暂无

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

BACKGROUND: Fetal ascites can be a challenging diagnostic finding on antenatal ultrasound. A thorough evaluation including amniocentesis, detailed fetal ultrasound, and genetic testing is indicated to determine whether the ascites represents part of a systemic disorder or whether it is an isolated finding. CASE: We report a neonate who initially presented with massive fetal ascites starting at 16 weeks' gestation. A total of 3,321 cc of ascitic fluid was serially removed from the fetus before delivery at 35 weeks' gestation. After delivery the neonate was found to have jejunal atresia with apple peel deformity, which was repaired via end to-end anastomosis shortly after birth. CONCLUSION: Concomitant congenital small bowel atresia and apple peel deformity is rare, and this case uniquely reports this lesion associated with the fetal onset of massive ascites without polyhydramnios.

引用

页码：441 / 444

页数：4

共 12 条

[11] Congenital jejunal and ileal atresia - Natural prenatal sonographic history and association with neonatal outcome [J].