TY - JOUR
T1 - The use of saline solution as a contrast medium in suspected diaphragmatic hernia and renal agenesis
AU - Haeusler, Martin C.H.
AU - Ryan, Greg
AU - Robson, Stephen C.
AU - Lipitz, Shlomo
AU - Rodeck, Charles H.
N1 - Funding Information:
From the Fetal Medicine Unit, University College Hospital. Supported by Austrian Science Foundation grant No. P7024-Med (M.C.H.H.) and a grant from the McLaughlin Foundation, University of Toronto (C.R.). Received for publication June 13, 1992; revised November 13, 1992; accepted November 24, 1992. Reprint requests: Martin G.H. Haeusler, MD, Department of Obstetrics and Gynaecology, &rl-Franzens University, Auenbruggerplatz 14, A-8036 Craz, Austria. Copyright © 1993 by Moslry-Year Book, Inc. 0002-9378/93 $1.00 + .20 6/1/44540
PY - 1993
Y1 - 1993
N2 - OBJECTIVE: Our purpose was to determine the value of saline solution instillation as a contrast medium in suspected congenital diaphragmatic hernia and renal agenesis. STUDY DESIGN: Intrathoracic (n = 3) or intraperitoneal (n = 2) instillation was performed in five cases of suspected congenital diaphragmatic hernia. Amnioinfusion combined with intraperitoneal instillation was performed in five cases of suspected renal agenesis. RESULTS: Instillation clearly demonstrated the diaphragmatic defect in four of the five cases. In the cases with suspected renal agenesis, amnioinfusion led to recognition of a previously unsuspected sirenomelia, and intraperitoneal instillation demonstrated empty renal fossae in four cases. The final fetus with bilateral renal agenesis was thought antenatally to have a contralateral multicystic kidney. CONCLUSIONS: We suggest that intrathoracic or intraperitoneal saline solution instillation is a useful diagnostic procedure in carefully selected cases where confident ultrasonic diagnosis is often difficult and yet would significantly alter management. In cases of severe oligohydramnios amnioinfusion is a complementary procedure. In 80% of cases in this series there was significant improvement in visualization after the procedure.
AB - OBJECTIVE: Our purpose was to determine the value of saline solution instillation as a contrast medium in suspected congenital diaphragmatic hernia and renal agenesis. STUDY DESIGN: Intrathoracic (n = 3) or intraperitoneal (n = 2) instillation was performed in five cases of suspected congenital diaphragmatic hernia. Amnioinfusion combined with intraperitoneal instillation was performed in five cases of suspected renal agenesis. RESULTS: Instillation clearly demonstrated the diaphragmatic defect in four of the five cases. In the cases with suspected renal agenesis, amnioinfusion led to recognition of a previously unsuspected sirenomelia, and intraperitoneal instillation demonstrated empty renal fossae in four cases. The final fetus with bilateral renal agenesis was thought antenatally to have a contralateral multicystic kidney. CONCLUSIONS: We suggest that intrathoracic or intraperitoneal saline solution instillation is a useful diagnostic procedure in carefully selected cases where confident ultrasonic diagnosis is often difficult and yet would significantly alter management. In cases of severe oligohydramnios amnioinfusion is a complementary procedure. In 80% of cases in this series there was significant improvement in visualization after the procedure.
KW - Fetal diseases
KW - congenital diaphragmatic hernia
KW - parenteral intrathoracic infusions
KW - prenatal diagnosis methods
KW - ultrasonography
UR - http://www.scopus.com/inward/record.url?scp=0027167429&partnerID=8YFLogxK
U2 - 10.1016/S0002-9378(11)90786-8
DO - 10.1016/S0002-9378(11)90786-8
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C2 - 8498432
AN - SCOPUS:0027167429
SN - 0002-9378
VL - 168
SP - 1486
EP - 1492
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
IS - 5
ER -