By Alain Couture, C. Baud, F. L. Ferran, Magali Saguintaah, Corinne Veyrac
Sonography of the gastrointestinal tract in fetuses, neonates and kids includes no recognized organic chance, allows serial scanning and will supply info unobtainable with the other imaging modality. This booklet presents a finished account of the present cutting-edge relating to sonography during this context. An introductory bankruptcy compares the advantages of sonography and magnetic resonance imaging of the fetal gastrointestinal tract. next chapters specialize in the procedure, pitfalls and findings in a large choice of purposes, together with antropyloric ailments bowel obstruction, bowel wall thickening, colitis, appendicitis, intussusception, a few belly wall and umbilical abnormalities, intraperitoneal tumors, and trauma. In each one case the sonographic morphology is taken into account extensive due to fine quality illustrations. A concluding bankruptcy contains a quiz in keeping with 15 case experiences. "Gastrointestinal Tract Sonography in Fetuses and Children" can be of worth to all with an curiosity during this box.
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Extra info for Gastrointestinal Tract Sonography in Fetuses and Children
A main fact was that the whole colon contained meconium with high T1 signal, while that is never observed with small bowel or multiple atresia (Fig. 27). b At last, the US examination should search for associated malformations: among our 8 cases, there was Down’s syndrome in 1 (interrupted pregnancy), congenital heart disease in 1 (fetal death), esophageal atresia with ﬁstula in 1 (detected at birth), midgut malrotation in 1 (detected at 32 weeks). b Fetal diagnosis of duodenal obstruction is easy, but etiological diagnosis represents the true challenge of prenatal imaging.
A 28-week fetus. Normal location of the superior mesenteric vessels. a The mesenteric vein (1) locates on the right side of the mesenteric artery (2). b On color Doppler, the mesenteric vein is coded in blue and the mesenteric artery in red. (3) Inferior vena cava. (4) Abdominal aorta (Dr. Courtiol) Fetal Gastrointestinal Tract: US and MR a d b c e f Fig. 26a–f. A 32-week-fetus. Duodenal stenosis with midgut malrotation. a On T2 sequence, duodenal dilatation and high suspicion of malrotation: the ﬂuid-ﬁ lled jejunal loops (arrow) were found in the right ﬂank and (b) on T1 sequence, the cecum was not in the right lower quadrant (arrow).
2001; Johnson et al. 1991; Kimble et al. 1999b; Ogunyemi 2001; Shaw 1975; Tawil et al. 2001). In extreme cases, closed gastroschisis includes a complete midgut infarction with intestinal resorption and normal appearance of the abdominal wall: it is the vanishing midgut (Celayir et al. 1999; Kimble et al. 1999). Some mummiﬁed bowel may remain exteriorized with complete closure of the wall defect. The prognosis is extremely poor, with death in 19 patients (immediately or after complication of parenteral nutrition).
Gastrointestinal Tract Sonography in Fetuses and Children by Alain Couture, C. Baud, F. L. Ferran, Magali Saguintaah, Corinne Veyrac