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Gastric diaphragmFrom: JT or JL Tomko (buddy@redrose.net)Thu Dec 18 19:16:20 1997
I believe I have an ob case with this but the only text or reference available to me is in the peds section of my books. I will post images to Terry and Kevin. History: 27 y/o Asian female, G1, P0 presents for fetal growth assessment. Patient complains fetus has the hiccups very frequently. Patient is diet controlled GDM with non-compliance of dietary recommendations. Presented today for BPP due to LMP dates not matching initial ultrasound dating way back at 6.0 wks. Patient measuring term, cervix effaced and dialated to 2. No contractions. EDC by initial ultrasound 1/8/98, EDC by LMP 12/4/97. Growth is proportional to expected age based on initial ultrasound. AFI is 19.8 and is in the 97.5% for 36 week gestation. During scan a small band is noted in the distal stomach but doses not have appearance of 'double bubble' as seen with duodenal atresia. (Actually this band is similar in appearance to that darned synechia!) I don't believe this has the appearance of pyloric stenosis either. Stomach showed filling and emptying within the 30 minutes. Bladder also showed emptying. Renals normal appearance. The only reference images I could find that match this stomach band were gastric diaphragm. Is this a diagnosis anyone is familiar with? Thanks for any thoughts. Janet Tomko RDMS
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