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Fetal bowel dilatation

MedGen UID:
1841608
•Concept ID:
C5826880
•
Congenital Abnormality
Synonyms: Foetal bowel dilatation; Prenatal ultrasound: bowel loops dilated
 
HPO: HP:4000140

Definition

Fetal bowel dilatation is characterized by fluid-filled intestinal loops which measure at least fifteen millimeters long or seven millimeters in diameter. Ultrasonographic image of dilated fetal bowel is a sign of intestinal mechanical or functional obstruction and its prevalence will depend on the underlying condition [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFetal bowel dilatation

Professional guidelines

PubMed

Gastroschisis with intestinal atresia--predictive value of antenatal diagnosis and outcome of postnatal treatment.
Ghionzoli M, James CP, David AL, Shah D, Tan AW, Iskaros J, Drake DP, Curry JI, Kiely EM, Cross K, Eaton S, De Coppi P, Pierro A
J Pediatr Surg 2012 Feb;47(2):322-8. doi: 10.1016/j.jpedsurg.2011.11.022. PMID: 22325384
Anorectal atresia: prenatal sonographic diagnosis.
Harris RD, Nyberg DA, Mack LA, Weinberger E
AJR Am J Roentgenol 1987 Aug;149(2):395-400. doi: 10.2214/ajr.149.2.395. PMID: 3300224

Recent clinical studies

Etiology

Antenatal predictors of intestinal pathologies in fetal bowel dilatation.
Huang L, Huang D, Wang H, Zhang X, Yu H, Yang P
J Paediatr Child Health 2020 Jul;56(7):1097-1100. Epub 2020 Feb 19 doi: 10.1111/jpc.14825. PMID: 32073210
Analysis of the clinical outcomes of fetal bowel dilatation combined with other abnormal ultrasonographic features.
Xu S, Zhong W, Shen Z, Dai C, Xia H, Guan Q, Bai L, Yu J
J Matern Fetal Neonatal Med 2019 Mar;32(6):992-996. Epub 2017 Nov 7 doi: 10.1080/14767058.2017.1397123. PMID: 29113511
Prenatal diagnosis and management of an intestinal volvulus with meconium ileus and peritonitis.
Takacs ZF, Meier CM, Solomayer EF, Gortner L, Meyberg-Solomayer G
Arch Gynecol Obstet 2014 Aug;290(2):385-7. Epub 2014 Apr 1 doi: 10.1007/s00404-014-3223-7. PMID: 24682585
Gastroschisis with intestinal atresia--predictive value of antenatal diagnosis and outcome of postnatal treatment.
Ghionzoli M, James CP, David AL, Shah D, Tan AW, Iskaros J, Drake DP, Curry JI, Kiely EM, Cross K, Eaton S, De Coppi P, Pierro A
J Pediatr Surg 2012 Feb;47(2):322-8. doi: 10.1016/j.jpedsurg.2011.11.022. PMID: 22325384
Anorectal atresia: prenatal sonographic diagnosis.
Harris RD, Nyberg DA, Mack LA, Weinberger E
AJR Am J Roentgenol 1987 Aug;149(2):395-400. doi: 10.2214/ajr.149.2.395. PMID: 3300224

Diagnosis

Analysis of the clinical outcomes of fetal bowel dilatation combined with other abnormal ultrasonographic features.
Xu S, Zhong W, Shen Z, Dai C, Xia H, Guan Q, Bai L, Yu J
J Matern Fetal Neonatal Med 2019 Mar;32(6):992-996. Epub 2017 Nov 7 doi: 10.1080/14767058.2017.1397123. PMID: 29113511
Prenatal diagnosis and management of an intestinal volvulus with meconium ileus and peritonitis.
Takacs ZF, Meier CM, Solomayer EF, Gortner L, Meyberg-Solomayer G
Arch Gynecol Obstet 2014 Aug;290(2):385-7. Epub 2014 Apr 1 doi: 10.1007/s00404-014-3223-7. PMID: 24682585
Fetal gastroschisis: a comparison of second vs. third-trimester bowel dilatation for predicting bowel atresia and neonatal outcomes.
Lato K, Poellmann M, Knippel AJ, Bizjak G, Stressig R, Hammer R, Janni W, Kozlowski P
Ultraschall Med 2013 Apr;34(2):157-61. Epub 2011 Dec 9 doi: 10.1055/s-0031-1281753. PMID: 22161619
Nonobstructive dilatation of the fetal bowel in twin gestations. A possible sonographic marker for fetal compromise.
Achiron R, Seidman DS, Zalel Y, Orvieto R, Sivan E, Lipitz S
Fetal Diagn Ther 2003 Mar-Apr;18(2):128-31. doi: 10.1159/000068074. PMID: 12576749
Anorectal atresia: prenatal sonographic diagnosis.
Harris RD, Nyberg DA, Mack LA, Weinberger E
AJR Am J Roentgenol 1987 Aug;149(2):395-400. doi: 10.2214/ajr.149.2.395. PMID: 3300224

Prognosis

Antenatal predictors of intestinal pathologies in fetal bowel dilatation.
Huang L, Huang D, Wang H, Zhang X, Yu H, Yang P
J Paediatr Child Health 2020 Jul;56(7):1097-1100. Epub 2020 Feb 19 doi: 10.1111/jpc.14825. PMID: 32073210
Fetal gastroschisis: a comparison of second vs. third-trimester bowel dilatation for predicting bowel atresia and neonatal outcomes.
Lato K, Poellmann M, Knippel AJ, Bizjak G, Stressig R, Hammer R, Janni W, Kozlowski P
Ultraschall Med 2013 Apr;34(2):157-61. Epub 2011 Dec 9 doi: 10.1055/s-0031-1281753. PMID: 22161619
Gastroschisis with intestinal atresia--predictive value of antenatal diagnosis and outcome of postnatal treatment.
Ghionzoli M, James CP, David AL, Shah D, Tan AW, Iskaros J, Drake DP, Curry JI, Kiely EM, Cross K, Eaton S, De Coppi P, Pierro A
J Pediatr Surg 2012 Feb;47(2):322-8. doi: 10.1016/j.jpedsurg.2011.11.022. PMID: 22325384
Antenatal diagnosis of meconium peritonitis in dichorionic twins: a case report.
Lee PR, Shim JY, Won HS, Kim A
J Reprod Med 2007 Mar;52(3):243-6. PMID: 17465298
Nonobstructive dilatation of the fetal bowel in twin gestations. A possible sonographic marker for fetal compromise.
Achiron R, Seidman DS, Zalel Y, Orvieto R, Sivan E, Lipitz S
Fetal Diagn Ther 2003 Mar-Apr;18(2):128-31. doi: 10.1159/000068074. PMID: 12576749

Clinical prediction guides

Antenatal predictors of intestinal pathologies in fetal bowel dilatation.
Huang L, Huang D, Wang H, Zhang X, Yu H, Yang P
J Paediatr Child Health 2020 Jul;56(7):1097-1100. Epub 2020 Feb 19 doi: 10.1111/jpc.14825. PMID: 32073210
Analysis of the clinical outcomes of fetal bowel dilatation combined with other abnormal ultrasonographic features.
Xu S, Zhong W, Shen Z, Dai C, Xia H, Guan Q, Bai L, Yu J
J Matern Fetal Neonatal Med 2019 Mar;32(6):992-996. Epub 2017 Nov 7 doi: 10.1080/14767058.2017.1397123. PMID: 29113511
Fetal gastroschisis: a comparison of second vs. third-trimester bowel dilatation for predicting bowel atresia and neonatal outcomes.
Lato K, Poellmann M, Knippel AJ, Bizjak G, Stressig R, Hammer R, Janni W, Kozlowski P
Ultraschall Med 2013 Apr;34(2):157-61. Epub 2011 Dec 9 doi: 10.1055/s-0031-1281753. PMID: 22161619
Gastroschisis with intestinal atresia--predictive value of antenatal diagnosis and outcome of postnatal treatment.
Ghionzoli M, James CP, David AL, Shah D, Tan AW, Iskaros J, Drake DP, Curry JI, Kiely EM, Cross K, Eaton S, De Coppi P, Pierro A
J Pediatr Surg 2012 Feb;47(2):322-8. doi: 10.1016/j.jpedsurg.2011.11.022. PMID: 22325384

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