- MeSH
- abnormality trávicího systému diagnóza epidemiologie MeSH
- diferenciální diagnóza MeSH
- dilatace patologická * diagnostické zobrazování epidemiologie vrozené MeSH
- lidé MeSH
- novorozenec MeSH
- střeva * abnormality diagnostické zobrazování MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- Publikační typ
- přehledy MeSH
OBJECTIVES: Enterolithiasis (multiple calcifications of intraluminal meconium) is a rare, prenatal ultrasonographic finding. In this study, our aim was to evaluate the prenatal diagnostic features and discuss the management of the patients. METHODS: The data of two cases of prenatally diagnosed fetal enterolithiasis were collected from ultrasound scan, magnetic resonance imaging (MRI) and neonatal or postnatal autopsy records. The findings were evaluated in both prenatal and postnatal periods. Chromosomal analysis was performed in one case. An evaluation of primary and secondary malformations was done. Coexisting anomalies were searched for via radiology, neonatal surgery and histopathology. RESULTS: Malformations in two cases (both males) with partial and complete urorectal septum malformation (URSM) sequence were described. The absence of an anal opening and presence of a fistula between the urinary and gastrointestinal tract were common findings. These features were considered as primary malformations contributing to the formation of enterolithiasis. Secondary anomalies (urinary and gastrointestinal system malformations, pulmonary hypoplasia, genital and other coexisting anomalies) were evaluated. CONCLUSIONS: The prenatal detection of enterolithiasis carries a poor prognosis. Most of the previously reported cases were invariably associated with major fetal malformations of the urinary and gastrointestinal tract. It is a warning sign for large bowel obstruction with or without enterourinary fistula. Therefore, adequate gastrointestinal and urologic studies must be undertaken after birth for the final diagnosis. There is a high mortality rate in the reported cases, mostly attributed to associated anomalies, and all survivors required neonatal surgery. It is important to differentiate the partial from the full URSM sequence because the prognosis in the partial URSM sequence is generally good, with long-term survival being common. Copyright 2006 John Wiley & Sons, Ltd.
- MeSH
- dospělí MeSH
- financování organizované MeSH
- kalcinóza diagnóza MeSH
- lidé MeSH
- magnetická rezonanční tomografie MeSH
- mekonium chemie ultrasonografie MeSH
- močové ústrojí abnormality MeSH
- nemoci plodu diagnóza ultrasonografie MeSH
- nemoci střev diagnóza MeSH
- nemoci u dvojčat diagnóza ultrasonografie MeSH
- oligohydramnion ultrasonografie MeSH
- prenatální diagnóza MeSH
- rektum abnormality MeSH
- střeva abnormality MeSH
- těhotenství MeSH
- ultrasonografie prenatální MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- dospělí MeSH
- lidé MeSH
- střeva abnormality MeSH
- žlučník abnormality chirurgie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- abnormality trávicího systému MeSH
- chirurgie trávicího traktu MeSH
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- nemoci novorozenců chirurgie MeSH
- novorozenec MeSH
- střeva abnormality chirurgie MeSH
- trávicí systém MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- novorozenec MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- bránice abnormality chirurgie MeSH
- dospělí MeSH
- lidé MeSH
- střeva abnormality chirurgie MeSH
- žaludek abnormality chirurgie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- fyziologie výživy kojenců MeSH
- kojenec MeSH
- malabsorpční syndromy MeSH
- pooperační komplikace MeSH
- střeva abnormality chirurgie MeSH
- tenké střevo chirurgie MeSH
- Check Tag
- kojenec MeSH
- Publikační typ
- kazuistiky MeSH
