Prenatal ultrasonic diagnosis of anterior abdominal wall defects

Israel Meizner, Jacob Bar-Ziv

Research output: Contribution to journalArticlepeer-review

Abstract

Nine cases of different types of anterior abdominal wall defects were diagnosed prenatally by ultrasound: gastroschisis (one case), omphalocele (five cases), exstrophy of the cloaca (one case) and the extreme form of prune belly syndrome (two cases). The ultrasonic features of gastroschisis and omphalocele are well recognized by most experienced sonographists. The ultrasonic prenatal diagnosis of exstrophy of the cloaca has not been reported previously and it is a very rare entity. The anterior abdominal wall defect is larger than in omphalocene and is located infraumbilically. Fetal ascites and a lumbosacral myelomenigocele are present as well. The extreme form of prune belly syndrome is associated with the absence of the abdominal wall musculature and marked dilatation of the urinary tract, presented ultrasonically as multiple large cysts occupying the distended fetal abdominal cavity. The differential diagnosis of these entities and guidelines for their correct prenatal ultrasonic diagnosis will be discussed.

Original languageEnglish
Pages (from-to)217-224
Number of pages8
JournalEuropean Journal of Obstetrics, Gynecology and Reproductive Biology
Volume22
Issue number4
DOIs
StatePublished - Aug 1986
Externally publishedYes

Keywords

  • Ultrasound
  • cloacal exstropy
  • gastroschisis
  • omphalocele
  • prune belly syndrome

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