Universität zu Köln

Mallmann, Michael R., Reutter, Heiko, Gottschalk, Ingo, Geipel, Annegret, Berg, Christoph and Gembruch, Ulrich ORCID: 0000-0001-8284-4669 (2019). Prenatal Diagnosis of Enterolithiasis in 20 Cases. Fetal Diagn. Ther., 46 (4). S. 266 - 274. BASEL: KARGER. ISSN 1421-9964

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Abstract

Background: Enterolithiasis is a sonographic sign defined by hyperechogenic foci within the - often distended - fetal bowel. Objectives: We report on a series of 20 cases with enterolithiasis diagnosed prenatally and illustrate the spectrum of associated malformations. Method: This was a retrospective study involving 20 fetuses with enterolithiasis at two large tertiary referral centers in Germany over a 17-year period (2000-2017). Results: Median diagnosis was made with ultrasound at 18+2 weeks of gestation (IQR(25,75): 14+5, 26+5). Additional malformations included urogenital malformations (cloacal malformation in 7/20 fetuses [35%] and kidney defects in 7/20 fetuses [35%]), cardiac malformations (3/20 fetuses [15%]), and vertebral malformations (5/20 fetuses [25%]). Of 20 fetuses, 14 could be attributed to the anorectal malformation spectrum, 3/20 fetuses presented with caudal regression syndrome, and 1 fetus with bilateral kidney agenesis, congenital diaphragmatic aplasia, and enterovesical fistula, respectively. Conclusion: Enterolithiasis is a rare prenatal sonographic feature. Because of the frequent occurrence of uro-recto-genital malformations, thorough prenatal counseling should be performed.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Mallmann, Michael R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Reutter, Heiko UNSPECIFIED UNSPECIFIED UNSPECIFIED Gottschalk, Ingo UNSPECIFIED UNSPECIFIED UNSPECIFIED Geipel, Annegret UNSPECIFIED UNSPECIFIED UNSPECIFIED Berg, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Gembruch, Ulrich UNSPECIFIED orcid.org/0000-0001-8284-4669 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-132170
DOI:	10.1159/000496843
Journal or Publication Title:	Fetal Diagn. Ther.
Volume:	46
Number:	4
Page Range:	S. 266 - 274
Date:	2019
Publisher:	KARGER
Place of Publication:	BASEL
ISSN:	1421-9964
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SEPTUM MALFORMATION SEQUENCE; DILATED FETAL COLON; IMPERFORATE ANUS; ESOPHAGEAL ATRESIA; ANORECTAL ATRESIA; VERTEBRAL DEFECTS; ANAL ATRESIA; FISTULA; ANOMALIES; MECONIUM Multiple languages Obstetrics & Gynecology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13217