Prenatal ultrasonographic findings associated with short bowel syndrome in two fetuses with gastroschisis.

Journal Article (Journal Article)

BACKGROUND: Studies on the importance of prenatal ultrasonographic findings in gastroschisis have shown variable significance in predicting neonatal outcome. We report two cases of short bowel syndrome and poor neonatal outcome that had interesting prenatal ultrasonographic findings. CASES: Gastroschisis was confirmed in both cases. Throughout gestation, the extra-abdominal bowel remained unchanged in size, hyperechoic, and clustered. Amniotic fluid volume increased with increasing intra-abdominal bowel dilation. Both fetuses were delivered prematurely and found to have short bowel syndrome incompatible with life. CONCLUSION: Prenatal ultrasonographic findings of hyperechoic and clustered extra-abdominal bowel with progressive intra-abdominal bowel dilation and associated polyhydramnios may be indicative of high bowel obstruction, atresia, and poor neonatal outcome. Families should be counseled cautiously.

Full Text

Duke Authors

Cited Authors

  • McMahon, MJ; Kuller, JA; Chescheir, NC

Published Date

  • October 1996

Published In

Volume / Issue

  • 88 / 4 Pt 2

Start / End Page

  • 676 - 678

PubMed ID

  • 8841249

International Standard Serial Number (ISSN)

  • 0029-7844

Digital Object Identifier (DOI)

  • 10.1016/0029-7844(96)00137-8


  • eng

Conference Location

  • United States