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Intra-amniotic bleeding and fetal echogenic bowel.

B Petrikovsky1, M Smith-Levitin, N Holsten

  • 1Department of Maternal Fetal Medicine, North Shore University Hospital, New York University School of Medicine, Manhasset 11030, USA.

Obstetrics and Gynecology
|July 27, 2000
PubMed
Summary

Intra-amniotic bleeding can cause fetal echogenic bowel, a condition where the fetal intestines appear bright on ultrasound. This echogenic bowel may persist for up to four weeks after the bleeding event.

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Area of Science:

  • Perinatal Medicine
  • Fetal Imaging
  • Obstetrics

Background:

  • Intra-amniotic bleeding is a known complication in pregnancy.
  • Fetal echogenic bowel is an ultrasound finding that can be associated with various fetal conditions.

Purpose of the Study:

  • To investigate the association between intra-amniotic bleeding and the development of fetal echogenic bowel.

Main Methods:

  • Fetal ultrasound examinations were performed before and after fetal transfusions.
  • Twenty-eight fetuses with intra-amniotic bleeding were monitored weekly.
  • Hyperechogenic bowel was defined as bowel echogenicity similar to bone.

Main Results:

  • No fetuses exhibited echogenic bowel prior to transfusions.

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  • Within 12 hours of intra-amniotic bleeding, seven of 28 fetuses developed echogenic bowel.
  • Echogenic bowel persisted in some fetuses for up to 4 weeks post-bleeding.

    • Conclusions:

    • Intra-amniotic bleeding is a potential cause of fetal echogenic bowel.
    • The finding suggests a possible link between bleeding events and changes in fetal bowel echogenicity.