Fetüste Sol Subdiyafragmatik Ekojen Odak ve Prognoza Etkisi
Abstract
Objectives: The aim of this study was to determine the effect of fetal left subdiaphragmatic echogenic foci (LSEF) on prognosis and to research its clinical significance.
Materials and Methods: In this retrospective study, obstetric ultrasound was performed for 20142 pregnant women, at 16-40 gestational weeks. The fetuses who were diagnosed with LSEF incidentally were included in the study. The number and size of echogenic foci, associated anomalies and serological test results were recorded. The fetuses with LSEF were followed by ultrasound every 4 weeks until delivery, and postnatal ultrasound on the second month of life was performed for the cases who didn’t exhibite resolution.
Results: During the study period, 285 fetuses were found to have 315 LSEFs with a prevalence of 1.4%. Twelve (4.2%) of the fetuses had minor anomalies (7 intracardiac echogenic foci, 4 minimal pyelectasis, 1 hyperechogenic bowel) and one of them (0.3%) had aneuploidy+major anomaly (1 atrioventricular septal defect+Trisomy 21). Intrauterine 274 fetuses (n=286 LSEF) were able to be followed, 242 LSEF (84.6%) disappeared antenatally, 18 LSEF (6.2%) showed regression. In the second month of neonatal period, 6 LSEF (2%) persisted including the case with aneuploidy.
Conclusion: LCEF had no clinically significant effect on the prognosis of the cases without aneuploidy, and postnatal follow up was not recommended for these cases.
Keywords
Echogenicity, Fetus, Isolated, Calcification, Subdiaphragmatic
Ethical Statement
Ethics Committee Approval: The study was approved by the local research ethics committee of İstinye University Clinical Research Ethics Committee (3/2022.F-52).
Informed Consent: Informed consent was obtained from all pregnant women to participate in the study.
Peer-reviewed: Externally peer-reviewed.
Financial Disclosure: The author declared that they did not receive any financial support during the research and authoring
of this article.
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