Sonographic detection and localization of fistulas in fetuses with imperforate anus: Case reports.


Journal

The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761

Informations de publication

Date de publication:
Aug 2021
Historique:
revised: 03 04 2021
received: 13 02 2021
accepted: 30 04 2021
pubmed: 12 5 2021
medline: 6 8 2021
entrez: 11 5 2021
Statut: ppublish

Résumé

Imperforate anus (IA) requires urgent treatment after birth, which is dependent on the type of IA, and is also frequently associated with other congenital abnormalities. Most patients with IA have an accompanying fistula, whose location is strongly associated with the type of IA. The fistula location can be a key factor in defining appropriate treatment, especially in neonates presenting with severe associated abnormalities. Herein, we report three cases of IA in which fistulas were detected and localized prenatally. Examination of the fetal pelvis through the sagittal or coronal view, using high-frequency transducers, revealed the location of the fistulas. In particular, the sagittal view obtained using the fetal infracoccygeal or perineal approach allowed us to determine the precise anatomy of the fistulas. Neonatal assessment confirmed the fistula locations. We recommend using the sagittal view obtained using the fetal infracoccygeal or perineal approach with high-frequency transducers to assess fistulas in fetuses with IA.

Identifiants

pubmed: 33973314
doi: 10.1111/jog.14824
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

2767-2772

Informations de copyright

© 2021 Japan Society of Obstetrics and Gynecology.

Références

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Auteurs

Takashi Kaji (T)

Department of Obstetrics and Gynecology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

Kazuhisa Maeda (K)

Department of Obstetrics and Gynecology, Shikoku Medical Center for Children and Adults, Zentsuji, Japan.

Eishi Sogawa (E)

Department of Obstetrics and Gynecology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

Atsuko Yoshida (A)

Department of Obstetrics and Gynecology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

Naoto Yonetani (N)

Department of Obstetrics and Gynecology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

Hiroki Ishibashi (H)

Department of Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

Minoru Irahara (M)

Department of Obstetrics and Gynecology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

Takeshi Iwasa (T)

Department of Obstetrics and Gynecology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

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