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- W2914510010 abstract "This 28-year-old primiparous pregnant woman had no medical history. Her morphological scans in the first and second trimesters were normal. The 2-D (Figure 1A) and 3-D (Figure 1B) ultrasonography scans in the HDlive (GE Healthcare, Chicago, IL) rendering mode performed at 31 weeks gestation revealed bowel dilatation (Figure 1A, Figure 1B, asterisks) associated with a distended stomach and mild polyhydramnios that suggested bowel obstruction. Coronal T2-wieghted MRI (Figure 2A) with 3-D reconstruction (Figure 2B) performed at 32 weeks gestation confirmed dilatation of proximal intestinal loops and polyhydramnios with suspicion of jejunal atresia (Figure 2A, Figure 2B, asterisks), with normal colon segments. CS was performed at 38 weeks, and the newborn weighed 2.515 kg, with Apgar scores of 9 at 1 minute and 10 at 5 minutes. Thoracoabdominal radiography performed after birth revealed gas distension of the small intestinal loops with stoppage at the proximal jejunal level. Transumbilical laparotomy performed with the patient under general anesthesia confirmed the diagnosis of jejunal atresia. A segment of the intestine more distal to the mentioned area was resected because it had hypoplastic vessels. The length of the residual small intestine was 2 m (considered a normal length). The mother and newborn were discharged from the hospital 9 days postoperatively and recovered well without any abnormalities. Figure 2Magnetic resonance imaging; (A) coronal T2 and (B) 3D reconstruction on the same day of ultrasound shows the stomach and proximal intestinal loops distended by fluid (*), suggesting a jejunal obstruction. Colon segments are normal. View Large Image Figure Viewer Download Hi-res image" @default.
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- W2914510010 date "2019-11-01" @default.
- W2914510010 modified "2023-10-18" @default.
- W2914510010 title "Prenatal Diagnosis of Jejunal Atresia by 3-D Ultrasonography and MRI" @default.
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- W2914510010 doi "https://doi.org/10.1016/j.jogc.2018.06.022" @default.
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