Evaluation of First-Trimester Physiological Midgut Herniation Using Three-Dimensional Ultrasound
| Autor: | Niek Exalto, Peter J. van der Spek, Leonie Baken, Sten P. Willemsen, Titia E. Cohen-Overbeek, Eric A.P. Steegers, Anton H. J. Koning, Hein Bogers |
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| Přispěvatelé: | Obstetrics & Gynecology, Pathology, Epidemiology |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Embryology medicine.medical_specialty Umbilical cord Ultrasonography Prenatal Umbilical Cord 03 medical and health sciences 0302 clinical medicine Imaging Three-Dimensional Pregnancy Medicine Humans Radiology Nuclear Medicine and imaging 3D ultrasound 030212 general & internal medicine Fetus Original Paper 030219 obstetrics & reproductive medicine Omphalocele medicine.diagnostic_test business.industry fungi Obstetrics and Gynecology Gestational age Midgut General Medicine Organ Size medicine.disease Hernia Abdominal First trimester Pregnancy Trimester First medicine.anatomical_structure Pediatrics Perinatology and Child Health Female Radiology business |
| Zdroj: | Fetal Diagnosis & Therapy, 45(5), 332-338. Karger |
| ISSN: | 1015-3837 |
| DOI: | 10.1159/000489260 |
| Popis: | Introduction: The aim of this study was to investigate the development of midgut herniation in vivo using three-dimensional (3D) ultrasonographic volume and distance measurements and to create reference data for physiological midgut herniation in ongoing pregnancies in a tertiary hospital population. Materials and Methods: The transvaginal 3D ultrasound volumes of 112 women, seen weekly during the first trimester of pregnancy, were obtained and subsequently analysed in a virtual reality environment. The width of the umbilical cord insertion, the maximum diameter of the umbilical cord, and the volume of midgut herniation were measured from 6 until 13 weeks gestational age (GA). Results: All parameters had a positive relation with GA, crown-rump length, and abdominal circumference. In approximately 1 of 10 volumes no midgut herniation could be observed at 9 and 10 weeks GA. In 5.0% of the fetuses the presence of midgut herniation could still be visualised at 12 weeks GA. Conclusion: Reference charts for several dimensions of physiological midgut herniation were created. In the future, our data might be used as a reference in the first trimester for comparison in case of a suspected pathological omphalocele. |
| Databáze: | OpenAIRE |
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