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Complete large bowel duplication with paraduodenal cyst: prenatal sonographic features. Prenat Diagn 2004 Apr;24(4):312-4

Date

04/06/2004

Pubmed ID

15065109

DOI

10.1002/pd.864

Scopus ID

2-s2.0-1842683213 (requires institutional sign-in at Scopus site)   8 Citations

Abstract

OBJECTIVES: To illustrate diagnostic dilemmas while considering a diagnosis of complete large bowel duplication and duodenal duplication cysts.

METHODS: A case of large bowel dilatation with a peripancreatic cyst was identified sonographically in a 27-year-old gravida 3 at 35 weeks of gestation, suffering from gestational diabetes and pregnancy-induced hypertension.

RESULTS: On the basis of sonographic findings of dilated, hyperperistaltic large bowel loops, and a large cyst with echo-free contents near the pancreas, a diagnosis of large bowel obstruction with a paraduodenal cyst was considered. The findings were confirmed after postnatal ultrasonography. At the time of surgery, it proved to be a completely duplicated large bowel with a paraduodenal cyst.

CONCLUSION: Prenatal findings of a hugely dilated, hyperperistaltic large bowel should lead one to suspect/consider large bowel duplication. Associated cysts are likely to be bowel duplication cysts. Timely intervention can thus obviate potentially serious complications.

Author List

Khanna PC, Gawand V, Nawale AJ, Deshmukh T, Merchant SA

Author

Tejaswini Deshmukh MD Adjunct Associate Professor in the Radiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Colon
Cysts
Diabetes, Gestational
Dilatation, Pathologic
Duodenal Diseases
Female
Fetal Diseases
Gestational Age
Humans
Hypertension
Infant, Newborn
Peristalsis
Pregnancy
Pregnancy Complications, Cardiovascular
Ultrasonography, Prenatal