caa a22 4500 445307978 CHVBK 20180317142619.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00404-010-1642-7 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1642-7 The role of ultrasound and antenatal single-shot fast spin-echo MRI in the evaluation of herniated bowel in case of first trimester ultrasound diagnosis of fetal gastroschisis [Elektronische Daten] [Gabriele Tonni, Pierpaolo Pattaccini, Alessandro Ventura, Giovanni Casadio, Carmine Rossi, Bruno Ferrari] Objective: To report on a clinical antenatal management strategy based on integrating ultrasound (US) and magnetic resonance imaging (MRI) in the evaluation of herniated bowel following early prenatal diagnosis of gastroschisis. Methods: Antenatal US and ultrafast single-shot spin-echo (SSSE) MRI. Results: Fetal gastroschisis was documented at 12weeks at the time of first trimester screening for Down syndrome. Fetal karyotype was performed at 16weeks and showed a 46,XY karyotype. Ultrasound scan at 20weeks diagnosed gastroschisis as isolated finding. Follow-up scans were planned monthly, and antenatal ultrafast SSSE MRI was arranged at 35weeks and demonstrated a right fetal abdominal wall defect measuring 2.4mm on transverse diameter with an integrity of the intra-abdominal and extra-abdominal loops of small bowel. The colon was in situ as were the stomach, the liver, and the spleen. Conclusions: The choice of integrating both the diagnostic procedures has shown to be clinically useful in planning the timing of delivery (Cesarean section) and in turn has been associated with an easy surgical repair and to a favorable postnatal outcome. The result of amniocentesis was crucial for the parent's decision-making process whether to continuing with the pregnancy. Moreover, amniotic fluid α-fetoprotein levels may be used as an index of small bowel damage when loops of small bowel lied uncovered within the amniotic cavity. Springer-Verlag, 2010 Gastroschisis nationallicence Prenatal diagnosis nationallicence Amniocentesis nationallicence Ultrasound nationallicence Magnetic resonance imaging nationallicence Postnatal surgery nationallicence Tonni Gabriele Division of Obstetrics and Gynecology, Guastalla Civil Hospital, AUSL Reggio Emilia, Via Donatori Sangue, 2, 42016, Guastalla, RE, Italy aut Pattaccini Pierpaolo Radiology Service, Guastalla Civil Hospital, AUSL Reggio Emilia, Via Donatori Sangue, 2, 42016, Guastalla, Italy aut Ventura Alessandro Division of Obstetrics and Gynecology, Guastalla Civil Hospital, AUSL Reggio Emilia, Via Donatori Sangue, 2, 42016, Guastalla, RE, Italy aut Casadio Giovanni Pediatric Surgery Unit, Policlinic Hospital, University of Parma, Via A. Gramsci, 43100, Parma, Italy aut Rossi Carmine Pediatric Surgery Unit, Policlinic Hospital, University of Parma, Via A. Gramsci, 43100, Parma, Italy aut Ferrari Bruno Department of Obstetrics and Gynecology, Policlinic Hospital, University of Parma, Via A. Gramsci, 43100, Parma, Italy aut Archives of Gynecology and Obstetrics Springer-Verlag 283/4(2011-04-01), 903-908 0932-0067 283:4<903 2011 283 404 https://doi.org/10.1007/s00404-010-1642-7 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1642-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tonni Gabriele Division of Obstetrics and Gynecology, Guastalla Civil Hospital, AUSL Reggio Emilia, Via Donatori Sangue, 2, 42016, Guastalla, RE, Italy aut NATIONALLICENCE 700 1- Pattaccini Pierpaolo Radiology Service, Guastalla Civil Hospital, AUSL Reggio Emilia, Via Donatori Sangue, 2, 42016, Guastalla, Italy aut NATIONALLICENCE 700 1- Ventura Alessandro Division of Obstetrics and Gynecology, Guastalla Civil Hospital, AUSL Reggio Emilia, Via Donatori Sangue, 2, 42016, Guastalla, RE, Italy aut NATIONALLICENCE 700 1- Casadio Giovanni Pediatric Surgery Unit, Policlinic Hospital, University of Parma, Via A. Gramsci, 43100, Parma, Italy aut NATIONALLICENCE 700 1- Rossi Carmine Pediatric Surgery Unit, Policlinic Hospital, University of Parma, Via A. Gramsci, 43100, Parma, Italy aut NATIONALLICENCE 700 1- Ferrari Bruno Department of Obstetrics and Gynecology, Policlinic Hospital, University of Parma, Via A. Gramsci, 43100, Parma, Italy aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/4(2011-04-01), 903-908 0932-0067 283:4<903 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer