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Journal of Ultrasound in Medicine, Vol 17, Issue 11 721-723, Copyright © 1998 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Prenatal diagnosis of bowel obstruction initially manifested as isolated hyperechoic bowel

G. E. Font and M. Solari
Division of Maternal-Fetal Medicine, Illinois Masonic Medical Center, Chicago 60657, USA.

Fetal bowel obstruction has a prevalence of 1 in 3000 to 5000 live births. Ultrasonographic diagnosis is made by demonstrating distended loops of bowel. Echogenic bowel, defined as small bowel more echogenic than liver or bone, has been associated with congenital infections, cystic fibrosis, chromosomal abnormalities, and bowel obstruction. Fetal ascites, defined as fluid in the peritoneal cavity partly surrounding the liver and bladder, also has been associated with bowel obstruction. We present a case of jejunal atresia whose presenting appearance consists of echogenic bowel, transient ascites, and massive dilatation of intestinal loops.




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Copyright © 1998 by the American Institute of Ultrasound in Medicine.