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Intrauterine intussusception presenting as fetal ascites at prenatal ultrasonography.

Yang, JI; Kim, HS; Chang, KH; Hong, J; Joo, HJ; Ryu, HS
American journal of perinatology, 21(4):241-246, 2004
Journal Title
American journal of perinatology
Intrauterine intussusception, an uncommon cause of bowel obstruction, has rarely been detected by prenatal ultrasonography. We report two cases of intrauterine intussusception after gestation, which presented as isolated fetal ascites at 30 weeks of gestation by ultrasonography. In case 1, on the follow-up ultrasonography at 32 weeks of gestation, the previously observed ascites had disappeared, whereas the echogenicity of the bowel was increased without any sign of dilation, suggesting the presence of meconium peritonitis. The fetus was delivered at 39 weeks. In case 2, however, the amount of fetal ascites became increased, and the fetus was delivered at 34 weeks of gestation. After delivery, both infants were surgically explored with resection of the ileum with end-to-end anastomosis because of intrauterine intussusception and ileal atresia. From the experience of these cases, we suggest that the ultrasonographic finding of isolated or transient fetal ascites might contribute to the early diagnosis and management of intrauterine intussusception.
MeSH terms
AdultAscites/*etiology/ultrasonographyDiagnosis, DifferentialFemaleFetal Diseases/*ultrasonographyHumansIleal Diseases/complications/*diagnosis/surgery/ultrasonographyIleum/abnormalities/surgeryInfant, NewbornIntestinal Atresia/complications/*diagnosis/surgery/ultrasonographyIntussusception/complications/*diagnosis/surgery/ultrasonographyMalePregnancyTime FactorsTreatment Outcome*Ultrasonography, Prenatal
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
Journal Papers > School of Medicine / Graduate School of Medicine > Medical Science
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
Journal Papers > School of Medicine / Graduate School of Medicine > Pathology
AJOU Authors
양, 정인김, 행수장, 기홍홍, 정주, 희재유, 희석
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