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Prenatal Detection of Echogenic Bowel in a Fetus With Familial
Microvillous Atrophy
Mark Levental, MD, Dolores H. Pretorius, MD, Angela L. Scioscia, MD,
Khaldon Jundi, MD, Donna Wallace, MD and Nancy E. Budorick, MD
"The magnitude of the echogenicity of the bowel seems to play a
predictive role: bowel that is equal to or more echogenic than bone
(usually adjacent pelvic bone) has a greater association with abnormal
outcome.1,2 It is important to note that the sonographic technique
affects our ability to identify echogenic bowel. Highfrequency (>5-MHz)
transducers and tissue harmonics can make normal bowel appear
echogenic.12"
Also see: http://bidmc.harvard.edu/display.asp?leaf_id=3432
And the references given at the bottom of that web page.
Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
Associate Professor & Director
Diagnostic Medical Sonography Program
University of Arkansas for Medical Sciences, CHRP
4301 West Markham St. Mail Slot #563
Little Rock, Arkansas, 72205 USA
501-686-6510
DuBoseTerryJ@UAMS.edu
http://www.io.com/~dubose/
http://www.uams.edu/chrp/dms/default.asp
http://www.obgyn.net/us/panel/panel.htm
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-----Original Message-----
From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
Philippe Jeanty, MD, PhD
Sent: Wednesday, August 04, 2004 9:58 AM
To: Multiple recipients of list ULTRASOUND
Subject: Re: fetal echogenic bowel
Nothing... just a normal variant. Probably a small placental hemorrhage
with
swallowed and undigested blood. I would reassure the parents
-----Original Message-----
From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
Yiannis Nickolidakis
Sent: Wednesday, August 04, 2004 9:34 AM
To: Multiple recipients of list ULTRASOUND
Subject: fetal echogenic bowel
An ultrasound scan during 18th week of a 29 years old healthy
primigravida revealed certain fetal echogenic bowel.
No other abnormalities were seen.
She had no vaginal bleeding since now.
Nuchal translucency on 12th week was <2mm.
Triplo test shows 1:10.000 risk for Down syndrome.
Serologic tests for congenital infections are negative.
The pregnant is not carrier of a known mutation of cystic fibrosis gene.
She is not positive to do an amniocentesis for fetal karyotyping.
If this embryo has no Down syndrome, not cystic fibrosis, not congenital
infection, what else could it has?
Dr. Yiannis Nickolidakis
Greece
http://www.medpages.obgyn.net/geneticsunit.gr
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