Re: fetal echogenic bowel
From: Dave Berck (djberck@yahoo.com)
Mon Aug 9 09:07:42 2004
No -- If it is the same echogenicity as bone than it
is echogenic. It shouldn't normally be as echogenic as
bone.
--- Marveen Craig <Cramar25@earthlink.net> wrote:
> I've always used variable gain studies to
> distinguish soft tissue from
> bone or similar densities.
>
> However, the last line of your statement (if I'm
> interpreting it
> correctly) implies that fetal bowel
> is as echogenic (dense and reflective) as bone.
> Was that your intent?
>
> Marveen Craig
> Tucson, Arizona, USA
> ====================================
>
> Dave Berck wrote:
>
> >I agree.
> >I also think that echogenic bowel is often
> diagnosed
> >when it is really not there. I have found the best
> way
> >is to use a 5MHz transducer and turn down the gain.
> If
> >the bowel disappears before the bone does, it's not
> >echogenic bowel.
> >
> >--- Allen Worrall <jworrall@alaska.net> wrote:
> >
> >>Was the echogenic bowel found on a transvaginal
> scan
> >>using a high frequency
> >>transducer? High frequency transducers will make
> >>bowel look echogenic.
> >>
> >>If the fetus swallowed blood, I think that can
> cause
> >>echogenic bowel.
> >>
> >>The SCREENING tests for Down have indicated low
> >>RISK. No DIAGNOSTIC tests
> >>have been done, so you do not know for certain
> that
> >>the fetus does not have
> >>Down.
> >>
> >>I think many of the experts (some I hope will
> >>respond your message) would
> >>agree with the patient's decision not to have an
> >>invasive test: I think many
> >>would feel that isolated echogenic bowel is not an
> >>indication for
> >>amniocentesis.
> >>
> >>Allen
> >>
> >>Joseph A Worrall MD RDMS
> >>OB/GYN Ultrasound at the Fairbanks Clinic
> >>Fairbanks, AK 99701
> >>http://www.obgynsono.com
>> >>----- Original Message -----
> >>From: "Yiannis Nickolidakis"
> >><nickolidakis@geneticsunit.gr>
> >>To: "Multiple recipients of list ULTRASOUND"
> >><ultrasound@dns.obgyn.net>
> >>Sent: Wednesday, August 04, 2004 6:33 AM
> >>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
> >>>
> >>
> >
> >=====
> >David J. Berck, MD, MPH
> >
>
=====
David J. Berck, MD, MPH
