Omfalosel ve gastroşizis ayırıcı tanısında üç boyutlu ultrasonografinin rolü

Yıl 2011, , 106 - 109, 01.03.2011

Kahraman Ülker İsmail Temur Mehmet Karaca İslim Volkan Mustafa Ersöz Abdülaziz Gül

https://doi.org/10.5799/ahinjs.01.2011.01.0221

Öz

Gasroşizis ve omfalosel karın ön duvarının en sık malformasyonlarındandır ve her ikisi de yüksek morbidite ve mortalite ile birliktedir. Bazen bu durumların tanısı hekimler için zor olmakta ve aile de farkına varamamaktadır. Bu makalede bir omfalosel ve bir gastroşizis vakasının iki ve üç boyutlu ultasonografik tanısal özellikleri sunulmuştur. Her iki durum ve bu durumların tanı ve tedavisinde üç boyutlu ultrasonografinin yeri ve klinik yönetimi tıbbi literatür ışığında tartışılmıştır. Üç boyutlu ultrasonografi omfalosel ve gastroşizisin tanı ve ağırlığını belirlemede yardımcıdır.

Anahtar Kelimeler

Üç boyutlu görüntüleme, omfalosel, gastroşizis, doğumsal defektler

The role of three-dimensional ultrasound in the differential diagnosis of omphalocele and gastroschisis

Öz

Gastroschisis and omphalocele are the two of the most common malformations of the anterior abdominal wall that both of them associated with high morbidity and mortality. Sometimes the diagnosis and the realization of the situations by physicians and the parents are difficult. Herein, one omphalocele and one gastroschisis cases were presented with the two-dimensional and three-dimensional ultrasonographic diagnostic features. The two entities and the role of three-dimensional ultrasound in diagnosis and the clinical management of the situations are discussed in the view of medical literature. The three-dimensional ultrasound helps in the diagnosis and detection of the severity of the omphalocele and the gastroschisis.

Anahtar Kelimeler

Three-dimensional imaging, omphalocele, gastroschises, birth defects

Kaynakça

• Stone P. Gastrointestinal Abnormalities. In: James DK, Steer PJ, Weiner CP, Gonik B, ed. High Risk Pregnancy Management Options. 2nd ed. London: W.B.Saunders, 1999; 443–446.
• Emanuel PG, Garcia GI, Angtuaco TL. Prenatal detection of anterior abdominal wall defects with US. Radiographics. 1995; 15:517–530.
• Richmond S, Atkins J. A population-based study of the prenatal diagnosis of congenital malformation over 16 years. BJOG 2005; 112:1349–1357.
• Hertzberg BS, Kliewer MA, Bowie JD. Sonography of the fetal gastrointestinal system. In: Fleischer AC, Manning FA, Jeanty P, Romero R, ed. Sonograhpy in Obstetrics and Gynecology Principles and Practice. 5th ed. London: Appleton and Lange, 1996; 411–431.
• Garne E, Loane M, Dolk H et al. Prenatal diagnosis of severe structural congenital malformations in Europe. Ultrasound Obstet Gynecol 2005; 25:6–11.
• Benacerraf BR, Saltzman DH, Estroff JA, Frigoletto FD. Abnormal karyotype of fetuses with omphalocele: Prediction based on omphalocele content. Obstet Gynecol 1990; 75: 317–319.
• Gibin C, Touch S, Broth RE, Berghella V. Abdominal wall defects and congenital heart disease. Ultrasound Obstet Gynecol 2003; 21: 334–337.
• Mayer T, Black R, Matlak ME, Johnson DG. Gastroschisis and omphalocele. An eight-year review. Ann Surg 1980; 192:783–787.
• Reçber D, Özen S. Trizomi 13, Patau Syndrome: Bir Olgu Sunumu (Trisomy 13), Patau Syndrome: A case report. (Turkish). Van Tıp Dergisi 2005; 12:29–31.
• Erk A, Uslu T, Kara F. Prenatal ultrasonographic diagnosis of a thanatophoric dysplasia case. Anatolian J Gynecol Obst 1999; 1:51–53.
• Fratelli N, Papageorghiou AT, Bhide A, Sharma A, Okoye B, Thilaganathan B. Outcome of antenatally diagnosed abdominal wall defects. Ultrasound Obstet Gynecol 2007; 30:266–270.
• Oztekin O, Oztekin D, Tinar S, Adibelli Z. Ultrasonographic abnormalities in prenatal screening at 11-14 weeks. Diagn Interv Radiol 2009; 15:221–225. of fetal structural
• Brun M, Maugey-Laulom B, Rauch-Chabrol F, Grignon A, Diard F. Diagnostic prenatal ultrasonography of malformations of the fetal anterior abdominal wall. [Article in French] J Radiol 1998; 79:1461–1468.