Complete large bowel duplication with paraduodenal cyst: prenatal sonographic features. Prenat Diagn 2004 Apr;24(4):312-4
Date
04/06/2004Pubmed ID
15065109DOI
10.1002/pd.864Scopus ID
2-s2.0-1842683213 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
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 SAAuthor
Tejaswini Deshmukh MD Adjunct Associate Professor in the Radiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultColon
Cysts
Diabetes, Gestational
Dilatation, Pathologic
Duodenal Diseases
Female
Fetal Diseases
Gestational Age
Humans
Hypertension
Infant, Newborn
Peristalsis
Pregnancy
Pregnancy Complications, Cardiovascular
Ultrasonography, Prenatal