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Abstract
RÉSUMÉ
L’atrésie grêlique non duodénale est une malformation congénitale rare avec une incidence de 1 pour 3000-5000 naissances. Le diagnostic peut être fait en anténatal à l’aide d’une échographie obstétricale. Nous rapportons le cas d’une atrésie jéjunale diagnostiquée lors d’une échographie obstétricale indiquée pour bilan d’hydramnios. L’échographie anténatale avait montré une dilatation grêlique associée à un hydramnios vrai. L’échographie néonatale et la radiographie thoraco abdominale du nouveau-né ont confirmé les signes d’occlusion grêlique proximale. Notre observation confirme le pouvoir de détection anténatale à l’échographie des atrésies grêliques non duodénales à la 32ème semaine d’aménorrhée lors d’un bilan d’hydramnios.
ABSTRACT
Non-duodenal atresia is a rare congenital malformation with an incidence of 1 in 3000-5000 births. Prenatal diagnosis can be done with obstetric ultrasound. We report a case of jejunal atresia diagnosed during obstetric ultrasound indicated for hydramnios assessment. Prenatal ultrasound showed small bowel dilation associated with true hydramnios. Neonatal ultrasound and abdominal x-ray of the newborn confirmed the signs of proximal small occlusion. Our observation confirms the ability of antenatal detection on ultrasound of non-duodenal small atresias at the 32nd week of amenorrhea during assessment of hydramnios.
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References
- Reyes HM, Meller JL, Loeff D (1989) Neonatal intestinal obstruction. Clin Perinatol 16:85–96
- Wax JR, Hamilton T, Cartin A et al (2006) Congenital jejunal and ileal atresia: natural prenatal sonographic history and association with neonatal outcome. J Ultrasound Med 25: 337–342
- Pediatric Gastrointestinal Disease. Pathophysiology, Diagnosis, Management, vol. 1(2nd edn), Walker WA, Dyrie PR, Hamilton JR, Walker-Smith JA, Watkins JB (eds).Mosby: London, 1996.
- John R, D’Antonio F, Khalil A et al (2015) Diagnostic accuracy of prenatal ultrasound in identifying jejunal and ileal atresia. Fetal Diagn Ther 38:142–146
- Virgone C., D’antonio F., Khalil A., Jonh R., Manzoli L. Accuracy of prenatal ultrasound in detecting jejunal and ileal atresia: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2015; 45: 523–529
- Haeusler MCH, Berghold A, Stoll C, et al: Prenatal ultrasonographic detection of gastrointestinal obstruction: results from 18 European congenital anomaly registries. Prenat Diagn 2002;22: 616–623.
References
Reyes HM, Meller JL, Loeff D (1989) Neonatal intestinal obstruction. Clin Perinatol 16:85–96
Wax JR, Hamilton T, Cartin A et al (2006) Congenital jejunal and ileal atresia: natural prenatal sonographic history and association with neonatal outcome. J Ultrasound Med 25: 337–342
Pediatric Gastrointestinal Disease. Pathophysiology, Diagnosis, Management, vol. 1(2nd edn), Walker WA, Dyrie PR, Hamilton JR, Walker-Smith JA, Watkins JB (eds).Mosby: London, 1996.
John R, D’Antonio F, Khalil A et al (2015) Diagnostic accuracy of prenatal ultrasound in identifying jejunal and ileal atresia. Fetal Diagn Ther 38:142–146
Virgone C., D’antonio F., Khalil A., Jonh R., Manzoli L. Accuracy of prenatal ultrasound in detecting jejunal and ileal atresia: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2015; 45: 523–529
Haeusler MCH, Berghold A, Stoll C, et al: Prenatal ultrasonographic detection of gastrointestinal obstruction: results from 18 European congenital anomaly registries. Prenat Diagn 2002;22: 616–623.