@article{bd2501bb40d048c687b590db3bc9e937,
title = "The use of saline solution as a contrast medium in suspected diaphragmatic hernia and renal agenesis",
abstract = "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.",
keywords = "Fetal diseases, congenital diaphragmatic hernia, parenteral intrathoracic infusions, prenatal diagnosis methods, ultrasonography",
author = "Haeusler, \{Martin C.H.\} and Greg Ryan and Robson, \{Stephen C.\} and Shlomo Lipitz and Rodeck, \{Charles H.\}",
note = "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 {\textcopyright} 1993 by Moslry-Year Book, Inc. 0002-9378/93 \$1.00 + .20 6/1/44540",
year = "1993",
doi = "10.1016/S0002-9378(11)90786-8",
language = "אנגלית",
volume = "168",
pages = "1486--1492",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Elsevier Inc.",
number = "5",
}