Skip to main content
Erschienen in: Pediatric Radiology 1/2012

01.01.2012 | Advances in Fetal and Neonatal Imaging

Fetal bowel anomalies – US and MR assessment

verfasst von: Erika Rubesova

Erschienen in: Pediatric Radiology | Sonderheft 1/2012

Einloggen, um Zugang zu erhalten

Abstract

The technical quality of prenatal US and fetal MRI has significantly improved during the last decade and allows an accurate diagnosis of bowel pathology prenatally. Accurate diagnosis of bowel pathology in utero is important for parental counseling and postnatal management. It is essential to recognize the US presentation of bowel pathology in the fetus in order to refer the patient for further evaluation or follow-up. Fetal MRI has been shown to offer some advantages over US for specific bowel abnormalities. In this paper, we review the normal appearance of the fetal bowel on US and MRI as well as the typical presentations of bowel pathologies. We discuss more specifically the importance of recognizing on fetal MRI the abnormalities of size and T1-weighted signal of the meconium-filled distal bowel.
Literatur
1.
Zurück zum Zitat Brugger PC, Prayer D (2006) Fetal abdominal magnetic resonance imaging. Eur J Radiol 57:278–293PubMedCrossRef Brugger PC, Prayer D (2006) Fetal abdominal magnetic resonance imaging. Eur J Radiol 57:278–293PubMedCrossRef
2.
Zurück zum Zitat Huisman TA, Kellenberger CJ (2008) MR imaging characteristics of the normal fetal gastrointestinal tract and abdomen. Eur J Radiol 65:170–181PubMedCrossRef Huisman TA, Kellenberger CJ (2008) MR imaging characteristics of the normal fetal gastrointestinal tract and abdomen. Eur J Radiol 65:170–181PubMedCrossRef
3.
Zurück zum Zitat Hertzberg BS (1994) Sonography of the fetal gastrointestinal tract: anatomic variants, diagnostic pitfalls, and abnormalities. AJR 162:1175–1182PubMed Hertzberg BS (1994) Sonography of the fetal gastrointestinal tract: anatomic variants, diagnostic pitfalls, and abnormalities. AJR 162:1175–1182PubMed
4.
Zurück zum Zitat Hill BJ, Joe BN, Qayyum A (2005) Supplemental value of MRI in fetal abdominal disease detected on prenatal sonography: preliminary experience. AJR 184:993–998PubMed Hill BJ, Joe BN, Qayyum A (2005) Supplemental value of MRI in fetal abdominal disease detected on prenatal sonography: preliminary experience. AJR 184:993–998PubMed
5.
Zurück zum Zitat Garel C, Dreux S, Philippe-Chomette P (2006) Contribution of fetal magnetic resonance imaging and amniotic fluid digestive enzyme assays to the evaluation of gastro-intestinal tract abnormalities. Ultrasound Obstet Gynecol 28:282–291PubMedCrossRef Garel C, Dreux S, Philippe-Chomette P (2006) Contribution of fetal magnetic resonance imaging and amniotic fluid digestive enzyme assays to the evaluation of gastro-intestinal tract abnormalities. Ultrasound Obstet Gynecol 28:282–291PubMedCrossRef
6.
Zurück zum Zitat Benachi A, Sonigo P, Jouannic JM (2001) Determination of the anatomical location of an antenatal intestinal occlusion by magnetic resonance imaging. Ultrasound Obstet Gynecol 18:163–165PubMedCrossRef Benachi A, Sonigo P, Jouannic JM (2001) Determination of the anatomical location of an antenatal intestinal occlusion by magnetic resonance imaging. Ultrasound Obstet Gynecol 18:163–165PubMedCrossRef
7.
Zurück zum Zitat Kesrouani AK, Guibourdenche J, Muller F (2003) Etiology and outcome of fetal echogenic bowel. Ten years of experience. Fetal Diagn Ther 18:240–246PubMedCrossRef Kesrouani AK, Guibourdenche J, Muller F (2003) Etiology and outcome of fetal echogenic bowel. Ten years of experience. Fetal Diagn Ther 18:240–246PubMedCrossRef
8.
Zurück zum Zitat Nyberg DA, Dubinsky T, Resta RG (1993) Echogenic fetal bowel during the second trimester: clinical importance. Radiology 188:527–531PubMed Nyberg DA, Dubinsky T, Resta RG (1993) Echogenic fetal bowel during the second trimester: clinical importance. Radiology 188:527–531PubMed
9.
Zurück zum Zitat Grignon A, Dubois J, Ouellet MC (1997) Echogenic dilated bowel loops before 21 weeks’ gestation: a new entity. AJR 168:833–837PubMed Grignon A, Dubois J, Ouellet MC (1997) Echogenic dilated bowel loops before 21 weeks’ gestation: a new entity. AJR 168:833–837PubMed
10.
Zurück zum Zitat Nyberg DA, Resta RG, Mahony BS et al (1993) Fetal hyperechogenic bowel and Down’s syndrome. Ultrasound Obstet Gynecol 3:330–333PubMedCrossRef Nyberg DA, Resta RG, Mahony BS et al (1993) Fetal hyperechogenic bowel and Down’s syndrome. Ultrasound Obstet Gynecol 3:330–333PubMedCrossRef
11.
Zurück zum Zitat Colombani M, Ferry M, Garel C et al (2010) Fetal gastrointestinal MRI: all that glitters in T1 is not necessarily colon. Pediatr Radiol 40:1215–1221PubMedCrossRef Colombani M, Ferry M, Garel C et al (2010) Fetal gastrointestinal MRI: all that glitters in T1 is not necessarily colon. Pediatr Radiol 40:1215–1221PubMedCrossRef
12.
Zurück zum Zitat Zizka J, Elias P, Hodik K et al (2006) Liver, meconium, haemorrhage: the value of T1-weighted images in fetal MRI. Pediatr Radiol 36:792–801PubMedCrossRef Zizka J, Elias P, Hodik K et al (2006) Liver, meconium, haemorrhage: the value of T1-weighted images in fetal MRI. Pediatr Radiol 36:792–801PubMedCrossRef
13.
Zurück zum Zitat Deroches A, Galerne D, Baudon J (1974) Biochemical composition of meconium (carbohydrates, lipids, proteins and related substances). J Gynecol Obstet Biol Reprod (Paris) 3:543–552, In French Deroches A, Galerne D, Baudon J (1974) Biochemical composition of meconium (carbohydrates, lipids, proteins and related substances). J Gynecol Obstet Biol Reprod (Paris) 3:543–552, In French
14.
Zurück zum Zitat Zalel Y, Perlitz Y, Gamzu R (2003) In utero development of the fetal colon and rectum: sonographic evaluation. Ultrasound Obstet Gynecol 21:161–164PubMedCrossRef Zalel Y, Perlitz Y, Gamzu R (2003) In utero development of the fetal colon and rectum: sonographic evaluation. Ultrasound Obstet Gynecol 21:161–164PubMedCrossRef
15.
Zurück zum Zitat Veyrac C, Couture A, Saguintaah M (2004) MRI of fetal GI tract abnormalities. Abdom Imaging 29:411–420PubMedCrossRef Veyrac C, Couture A, Saguintaah M (2004) MRI of fetal GI tract abnormalities. Abdom Imaging 29:411–420PubMedCrossRef
16.
Zurück zum Zitat Ramón y Cajal CL, Martínez RO (2003) Defecation in utero: a physiologic fetal function. Am J Obstet Gynecol 188:153–156PubMedCrossRef Ramón y Cajal CL, Martínez RO (2003) Defecation in utero: a physiologic fetal function. Am J Obstet Gynecol 188:153–156PubMedCrossRef
17.
Zurück zum Zitat Saguintaah M, Couture L, Veyrac C (2002) MRI of the fetal gastrointestinal tract. Pediatr Radiol 32:395–404PubMedCrossRef Saguintaah M, Couture L, Veyrac C (2002) MRI of the fetal gastrointestinal tract. Pediatr Radiol 32:395–404PubMedCrossRef
18.
Zurück zum Zitat Shinmoto H, Kuribayashi S (2003) MRI of fetal abdominal abnormalities. Abdom Imaging 28:877–886PubMedCrossRef Shinmoto H, Kuribayashi S (2003) MRI of fetal abdominal abnormalities. Abdom Imaging 28:877–886PubMedCrossRef
19.
Zurück zum Zitat Rubesova E, Vance CJ, Ringertz HG (2009) Three-dimensional MRI volumetric measurements of the normal fetal colon. AJR 192:761–765PubMedCrossRef Rubesova E, Vance CJ, Ringertz HG (2009) Three-dimensional MRI volumetric measurements of the normal fetal colon. AJR 192:761–765PubMedCrossRef
20.
Zurück zum Zitat Munch EM, Cisek LJ Jr, Roth DR (2009) Magnetic resonance imaging for prenatal diagnosis of multisystem disease: megacystis microcolon intestinal hypoperistalsis syndrome. Urology 74:592–594PubMedCrossRef Munch EM, Cisek LJ Jr, Roth DR (2009) Magnetic resonance imaging for prenatal diagnosis of multisystem disease: megacystis microcolon intestinal hypoperistalsis syndrome. Urology 74:592–594PubMedCrossRef
21.
Zurück zum Zitat Ghi T, Tani G, Carletti A (2005) Transient bowel ischaemia of the fetus. Fetal Diagn Ther 20:54–57PubMedCrossRef Ghi T, Tani G, Carletti A (2005) Transient bowel ischaemia of the fetus. Fetal Diagn Ther 20:54–57PubMedCrossRef
22.
Zurück zum Zitat Farhataziz N, Engels JE, Ramus RM (2005) Fetal MRI of urine and meconium by gestational age for the diagnosis of genitourinary and gastrointestinal abnormalities. AJR 184:1891–1897PubMed Farhataziz N, Engels JE, Ramus RM (2005) Fetal MRI of urine and meconium by gestational age for the diagnosis of genitourinary and gastrointestinal abnormalities. AJR 184:1891–1897PubMed
23.
Zurück zum Zitat Lubusky M, Prochazka M, Dhaifalah I (2006) Fetal enterolithiasis: prenatal sonographic and MRI diagnosis in two cases of urorectal septum malformation (URSM) sequence. Prenat Diagn 26:345–349PubMedCrossRef Lubusky M, Prochazka M, Dhaifalah I (2006) Fetal enterolithiasis: prenatal sonographic and MRI diagnosis in two cases of urorectal septum malformation (URSM) sequence. Prenat Diagn 26:345–349PubMedCrossRef
24.
Zurück zum Zitat Colombani M, Ferry M, Toga C (2010) Magnetic resonance imaging in the prenatal diagnosis of congenital diarrhea. Ultrasound Obstet Gynecol 35:560–565PubMedCrossRef Colombani M, Ferry M, Toga C (2010) Magnetic resonance imaging in the prenatal diagnosis of congenital diarrhea. Ultrasound Obstet Gynecol 35:560–565PubMedCrossRef
25.
Zurück zum Zitat Husu S, Nelson N, Selbing A (2001) Prenatal bowel dilatation: congenital chloride diarrhoea. Arch Dis Child Fetal Neonatal 85:F65CrossRef Husu S, Nelson N, Selbing A (2001) Prenatal bowel dilatation: congenital chloride diarrhoea. Arch Dis Child Fetal Neonatal 85:F65CrossRef
26.
Zurück zum Zitat Höglund P, Sormaala M, Haila S (2001) Identification of seven novel mutations including the first two genomic rearrangements in SLC26A3 mutated in congenital chloride diarrhea. Hum Mutat 18:233–242PubMedCrossRef Höglund P, Sormaala M, Haila S (2001) Identification of seven novel mutations including the first two genomic rearrangements in SLC26A3 mutated in congenital chloride diarrhea. Hum Mutat 18:233–242PubMedCrossRef
27.
Zurück zum Zitat Orlowski J, Grinstein S (2004) Diversity of the mammalian sodium/proton exchanger SLC9 gene family. Pfluger Arch 447:549–565CrossRef Orlowski J, Grinstein S (2004) Diversity of the mammalian sodium/proton exchanger SLC9 gene family. Pfluger Arch 447:549–565CrossRef
28.
Zurück zum Zitat Kim SH, Kim SH (2001) Congenital chloride diarrhea: antenatal ultrasonographic findings in siblings. J Ultrasound Med 20:1133–1136PubMed Kim SH, Kim SH (2001) Congenital chloride diarrhea: antenatal ultrasonographic findings in siblings. J Ultrasound Med 20:1133–1136PubMed
29.
Zurück zum Zitat Tsukimori K, Nakanami N, Wake N et al (2007) Prenatal sonographic findings and biochemical assessment of amniotic fluid in a fetus with congenital chloride diarrhea. J Ultrasound Med 26:1805–1807PubMed Tsukimori K, Nakanami N, Wake N et al (2007) Prenatal sonographic findings and biochemical assessment of amniotic fluid in a fetus with congenital chloride diarrhea. J Ultrasound Med 26:1805–1807PubMed
Metadaten
Titel
Fetal bowel anomalies – US and MR assessment
verfasst von
Erika Rubesova
Publikationsdatum
01.01.2012
Verlag
Springer-Verlag
Erschienen in
Pediatric Radiology / Ausgabe Sonderheft 1/2012
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-011-2174-4

Weitere Artikel der Sonderheft 1/2012

Pediatric Radiology 1/2012 Zur Ausgabe

Advances in Fetal and Neonatal Imaging

Fetal genitourinary imaging

Advances in Fetal and Neonatal Imaging

Neonatal skeletal dysplasias

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.