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Echogenic bowel in the second trimester - Where to from here?
Kimberly Chung1,2, Krishanthy Thayalan1,3, Alka Kothari1,2
1Redcliffe Hospital Redcliffe Queensland Australia.
Australasian Journal of Ultrasound in Medicine
|November 11, 2021
Summary
Echogenic bowel on prenatal ultrasound can indicate various conditions or be benign. Further investigation is crucial to rule out serious fetal pathologies and guide clinical management.
Area of Science:
- Prenatal diagnostics
- Medical imaging
- Fetal medicine
Background:
- Echogenic bowel on prenatal ultrasound is a soft marker.
- It can be associated with chromosomal disorders, infections, and cystic fibrosis.
Observation:
- Three cases of echogenic bowel are presented.
- Case 1: Benign finding due to blood product ingestion.
- Cases 2 & 3: Pathological causes including Turner syndrome and congenital cytomegalovirus infection.
Findings:
- Increased risk of adverse outcomes with multiple markers, deformities, or persistent echogenic bowel.
- Ultrasonographic sensitivity for congenital cytomegalovirus is poor (<50%).
Implications:
- Clinicians should investigate echogenic bowel further.
- An action plan is proposed to exclude detrimental fetal pathologies.
- Invasive testing is important for accurate diagnosis.
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