Re: Echogenic Bowel
From: art fougner, md (evsono@pipeline.com)
Wed Dec 13 13:51:15 2000
Jeff
have seen similar finding in a fetus with ano-rectal atresia. most
common cause of echogenic bowel seen in second trimester is swallowed
blood altho entities in the differential include aneuploidy, cf, and
infection, most notably cmv.
art
At Wed, 13 Dec 2000, Jeff Mendell wrote:
>
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>My name is Jeff Mendell in my OB-Gyn rotation, and have come across an
>interesting finding of an echogenic bowel in a 29 wk old
>fetus. chromosomes are normal, amniotic fluid AFP is 4.0 MOM. Cystic
>Fibrosis studies are negative (DNA). Echogenic areas are within the
>(small) bowel, and are seen moving with parastalsis. All other US
>findings are negative. Normal amount of fluid and size is consistant with
>dates.
>
>The only reference I can find so far is "OBSTETRICS AND GYNECOLOGY Volume
>88, Number 3, September 1996,HYPERECHOGENIC FETAL BOWEL AND ELEVATED SERUM
>ALPHA-FETOPROTEIN:A POOR FETAL PROGNOSIS 4, Reuwen Achiron, MD, Daniel S.
>Seidman, MD, Ada Horowitz, MD,Shlomo Mashiach, MD, Boleslav Goldman, MD,
>and Shlomo Lipitz, MD " It states "All six fetuses with the combination of
>elevated MSAFP and echogenic bowel were growth-restricted; four died in
>utero and one of the two live-born infants died during the neonatal
>period. The single survivor in this group was born prematurely; necrotizing
>enterocolitis was diagnosed at 30 days of life and surgery was performed."
>
>This prognosis does not look very good. Does anyone else have experience
>or suggestions.
>
>A copy of an ultrasound image is attached.
>
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>--=====================_1141431==_--
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
