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Journal of Ultrasound in Medicine, Vol 17, Issue 4 213-215, Copyright © 1998 by American Institute of Ultrasound in Medicine


JOURNAL ARTICLE

Distention of the fetal duodenum: abnormal finding?

D. Levine, R. B. Goldstein and C. Cadrin
Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA.

We investigated whether a fluid-filled duodenum is observed in normal fetuses. In part 1 of the study a view in the region of the duodenum was obtained during routine obstetric ultrasonography from 123 low-risk patients. All examinations demonstrated a collapsed duodenum. No gastrointestinal abnormalities were found in these infants. In part 2 of the study, 1163 fetuses (both high-risk and low-risk) were evaluated with real-time scanning, and duodenal fluid without a "double bubble" was seen in one fetus who had a duodenal web. We conclude that a nondistended fetal duodenum is the norm. If fetal duodenal dilation is visualized, this may allow for earlier detection of duodenal obstructions.


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