מעי אקוגני בעובר בבדיקת על-שמע – מהי המשמעות הקלינית?

Translated title of the contribution: Fetal echogenic bowel by ultrasound: What is the clinical significance?

אשר בשירי, אליעזר בורשטיין, רלי הרשקוביץ, משה מזור

    Research output: Contribution to journalReview articlepeer-review

    10 Scopus citations

    Abstract

    Echogenic bowel is diagnosed in 0.2% to 1.4% of second trimester ultrasonographic examinations. This finding occurs as a normal variant in the second trimester but also has been associated with several pathologic conditions that include cystic fibrosis, chromosomal abnormalities and in utero infection with cytomegalovirus and toxoplasmosis. Ultrasound assessment of echogenic bowel is usually subjective by comparing the echogenicity with adjacent bone or liver. The diagnosis of fetal echogenic bowel in the second trimester has significant implications for prenatal management. Fetal echogenic bowel should be considered an important marker of placental damage. This finding in the second trimester is strongly associated with adverse pregnancy outcome due to utero-placental insufficiency, particularly in women with elevated maternal serum alpha-fetoprotein concentration due to severe feto-maternal bleeding. This review focuses on the definition and diagnosis of this entity and problems raised by echogenic bowel due to subjectivity of the diagnosis. It also includes the pathophysiology in the different conditions and the prevalence of each condition. Based on this review, we suggest the evaluation that is needed, as well as the recommendations to follow-up, during the remaining term of pregnancy according to the literature.
    Translated title of the contributionFetal echogenic bowel by ultrasound: What is the clinical significance?
    Original languageHebrew
    Pages (from-to)964-969
    Number of pages6
    Journalהרפואה
    Volume146
    Issue number12
    StatePublished - 1 Dec 2007

    Keywords

    • Amniocentesis
    • Congenital malformation
    • Cystic fibrosis
    • Echogenic bowel
    • Ultrasound

    ASJC Scopus subject areas

    • General Medicine

    Fingerprint

    Dive into the research topics of 'Fetal echogenic bowel by ultrasound: What is the clinical significance?'. Together they form a unique fingerprint.

    Cite this