Early fetal megacystis at first trimester: A six-year retrospective study

被引:12
作者
Boissier, K. [1 ]
Varlet, M-N. [1 ]
Chauleur, C. [1 ]
Cochin, S. [1 ]
Clemenson, A. [2 ]
Varlet, F. [3 ]
Bellicard, E. [1 ]
Chantegret, C. [4 ]
Patural, H. [5 ]
Seffert, P. [1 ]
Chene, G. [1 ]
机构
[1] Hop Nord St Etienne, CHU St Etienne, Serv Gynecol Obstet, F-42055 St Etienne 02, France
[2] Hop Nord St Etienne, CHU St Etienne, Serv Anatomopathol, F-42055 St Etienne 02, France
[3] Hop Nord St Etienne, CHU St Etienne, Serv Chirurg Pediat, F-42055 St Etienne 02, France
[4] CHU Dijon, Serv Pediat, F-21079 Dijon, France
[5] Hop Nord St Etienne, CHU St Etienne, Serv Reanimat Pediat, F-42055 St Etienne 02, France
来源
GYNECOLOGIE OBSTETRIQUE & FERTILITE | 2009年 / 37卷 / 02期
关键词
Fetal megacystis; Prenatal diagnosis; Ultrasonography; INTESTINAL HYPOPERISTALSIS SYNDROME; OF-THE-LITERATURE; URINARY-TRACT OBSTRUCTION; PRUNE-BELLY-SYNDROME; PRENATAL-DIAGNOSIS; PREGNANCY; FETUS; GESTATION; 1ST-HALF; ANOMALIES;
D O I
10.1016/j.gyobfe.2008.12.004
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective- A fetal megacystis is defined by I longitudinal bladder diameter more (hall 7 mm. The purpose of this study is to describe the prenatal ultrasound findings of this early fetal pathology and to assess pronostic and aetiologycal criteria. Patients and methods.- Between January 2003 and December 2008. 12 cases of early fetal megacystis were identified in our referral fetal medicine unit (saint-Etienne hospital, France). Results.- There were two cases of spontaneous resolution and one case wasn't a fetal megacystis. Termination of pregnancy for medical indications was realised for another cases because of associated malformations and bad evolution (six cases) and three chromosomal abnormalities (two cases of trisomy 18 and one of trisomy 21). Discussion and conclusion.- Sonographic follow-up and fetal karyotyping are important to evaluate prognosis. However, our data suggest that fetal megacystis is a severe condition when diagnosed in early pregnancy. (C) 2008 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:115 / 124
页数:10
相关论文
共 35 条
  • [1] 1ST AND EARLY 2ND-TRIMESTER DIAGNOSIS OF FETAL URINARY-TRACT ANOMALIES USING TRANSVAGINAL SONOGRAPHY
    BRONSHTEIN, M
    YOFFE, N
    BRANDES, JM
    BLUMENFELD, Z
    [J]. PRENATAL DIAGNOSIS, 1990, 10 (10) : 653 - 666
  • [2] Vesicocentesis at 10-14 weeks of gestation for treatment of fetal megacystis
    Carroll, SGM
    Soothill, PW
    Tizard, J
    Kyle, PM
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2001, 18 (04) : 366 - 370
  • [3] 1ST TRIMESTER DIAGNOSIS AND EARLY INUTERO TREATMENT OF OBSTRUCTIVE UROPATHY
    DRUGAN, A
    ZADOR, IE
    BHATIA, RK
    SACKS, AJ
    EVANS, MI
    [J]. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1989, 68 (07) : 645 - 649
  • [4] URORECTAL SEPTUM MALFORMATION SEQUENCE - REPORT OF 6 CASES AND EMBRYOLOGICAL ANALYSIS
    ESCOBAR, LF
    WEAVER, DD
    BIXLER, D
    HODES, ME
    MITCHELL, M
    [J]. AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1987, 141 (09): : 1021 - 1024
  • [5] EVANS MI, 1991, OBSTET GYNECOL, V77, P545
  • [6] Early fetal megacystis between 11 and 15 weeks of gestation
    Favre, R
    Kohler, M
    Gasser, B
    Muller, F
    Nisand, I
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 1999, 14 (06) : 402 - 406
  • [7] GASSER B, 1987, Journal de Gynecologie Obstetrique et biologie de la Reproduction, V16, P443
  • [8] THE VARIED SONOGRAPHIC APPEARANCE OF THE URINARY-TRACT IN THE FETUS AND NEWBORN WITH URETHRAL OBSTRUCTION
    GLAZER, GM
    FILLY, RA
    CALLEN, PW
    [J]. RADIOLOGY, 1982, 144 (03) : 563 - 568
  • [9] Urethral atresia:: Long-term outcome in 6 children who survived the neonatal period
    González, R
    De Filippo, R
    Jednak, R
    Barthold, JS
    [J]. JOURNAL OF UROLOGY, 2001, 165 (06) : 2241 - 2244
  • [10] Megacystis microcolon intestinal hypoperistalsis syndrome
    Granata, C
    Puri, P
    [J]. JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1997, 25 (01) : 12 - 19