Fetal Bowel Obstruction – Challenge for Fetal Medicine Specialists and Verified Outcome

Activity: Talk or presentation types › Poster presentation

Description

Jejunoileal atresia is a rare type of obstruction of the small bowel affecting newborns. Diagnosis can be challenging and not always identified prior to birth. Prenatal ultrasound has a poor overall accuracy in identifyingJejunoileal atresia prenatally. In addition, the rare colonic form of intestinal atresia can cause symptoms similar to those associated with jejunoileal atresia. In the second trimester, echogenic bowel may be the only finding, while dilated loops of bowel with peristalsis with or without polyhydramnios are findings of the third trimester. We present the case of combined bowel (small and large bowel) atresias in 27years old woman. Gravida 1 para 0 was referred to Riga Maternity hospital for routine ultrasound at 31 weeks of gestation.The 1st trimester screening and the 2nd trimester anomaly scan, as well as antenatal course was uneventful. During examination a slightly dilated bowel loop until 15 mm was depicted. There was no evidence of any additional fetal anomalies. With follow up ultrasound progressive enlargement of the centrally located loop with peristaltic and the absence of polyhydramnios were observed. The perianal complex was clearly visualized, excluding rectum atresia. The labour was induced at 38+1 weeks. The boy (3 245 g) was born vaginaly. X-ray exam supposed the jejunoileal obstruction. During explorative laparotomy ileal (IIIb type) and colonic (5 cm from ileocecal angle) atresias were confirmed. Y jejunoileal stoma and end-to-end colonic anastomosis were created. The total lenght of smal bowels was 50 cm.Prenatal diagnosis of bowel atresia has a positive impact on prognosis; it allows the family to accept the diagnosis, as well as it leads to prompt postnatal management and thus decreasing complications. Genetic counselling is suggested for the couple, as the recurrence risk is increased with jejunoileal (type IIIb) atresia.. ". ". "
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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