Fetal MRI in management of complicated meconium ileus: Prenatal and surgical imaging.
Prenat Diagn
; 38(9): 685-691, 2018 08.
Article
in En
| MEDLINE
| ID: mdl-29877592
ABSTRACT
OBJECTIVE:
To review fetal MRI cases surgically proven to have meconium ileus (MI) and obstruction, describe the common fetal MRI findings that distinguish cases of complicated MI, and to compare these findings with surgical images and perinatal outcomes.METHOD:
We performed a retrospective review of all fetal MRI examinations and the corresponding medical record from our tertiary care children's hospital over an 18-month period. Postnatal management and outcomes were reviewed for these patients, and those patients with surgical or postmortem diagnosis of complicated MI were included in the study.RESULTS:
Our analysis revealed 7 cases. In this cohort, 3 imaging features of the fetal bowel were repeatedly seen gradient appearance of intraluminal bowel contents, abnormally localized meconium signal, and collapsed appearance of the colon on MRI. Surgical diagnoses confirmed MI. All live-born infants underwent surgical repair.CONCLUSION:
Fetal MRI should be included in the diagnostic algorithm of any pregnancy where fetal bowel obstruction is suspected to better risk stratify patients.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prenatal Diagnosis
/
Magnetic Resonance Imaging
/
Meconium Ileus
Type of study:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Newborn
/
Pregnancy
Language:
En
Journal:
Prenat Diagn
Year:
2018
Document type:
Article
Affiliation country: