New sonographic feature (C-sign) to improve the prenatal accuracy of jejunal atresia
| Autor: | Jiaxin Chen, Wu-ping Ge, Xiao-chun Zhu, Dan Chen, Kwong Ho Tam, Shangjie Xiao, Jialiang Zhou, Juan Geng, Yu Tan, Yiwei Xiao |
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| Rok vydání: | 2021 |
| Předmět: |
congenital
hereditary and neonatal diseases and abnormalities Polyhydramnios medicine.medical_specialty Intestinal Atresia Prenatal diagnosis Ultrasonography Prenatal Pregnancy otorhinolaryngologic diseases medicine Humans Retrospective Studies Ultrasonography Fetus business.industry digestive oral and skin physiology Obstetrics and Gynecology Ileal Atresia Retrospective cohort study medicine.disease Jejunal atresia Jejunum Feature (computer vision) Atresia Female Radiology business |
| Zdroj: | The journal of obstetrics and gynaecology research. 47(12) |
| ISSN: | 1447-0756 |
| Popis: | OBJECTIVES To describe a new sonographic feature of the C-sign for prenatal diagnosis of jejunal atresia and evaluate its role in prenatal jejunal atresia, particularly preceding bowel dilatation and polyhydramnios. METHODS This was a retrospective study from a tertiary maternal hospital. Patients with prenatal sonographic examination and confirmed small bowel atresia postdelivery were included. All sonographic images were reviewed by two senior sonographers. Comparison of sonographic images between prenatal jejunal and ileal atresia using the C-sign resembles the shape of the entire duodenum and other traditional sonographic features. The control group without bowel atresia was assessed for the presence of the C-sign. RESULTS The C-sign and combined bowel dilatation with polyhydramnios were more frequent in jejunal atresia than ileal atresia, but the C-sign can be used to detect jejunal atresia earlier. The C-sign can be more likely to diagnose jejunal atresia in persisting bowel dilatation and polyhydramnios. The C-sign was not reported in any of the control fetuses. CONCLUSION The C-sign is a new sonographic feature that can be used to improve the prenatal accuracy and early detection of jejunal atresia. However, further prospective validation is needed. |
| Databáze: | OpenAIRE |
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