Abnormal abdominal situs: what and how should we look for?

Prenatal Diagnosis
Laurent J SalomonCatherine Garel

Abstract

Prenatal management of abnormal abdominal situs is challenging since prognosis is highly variable depending on the associated malformations. The authors report on two cases of ambiguous abdominal situs. Prenatal management included specialized ultrasound examination of fetal anatomy and heart, amniocentesis for determination of the fetal karyotype and fetal abdominal MR. In both cases, abnormal situs was associated with other abdominal anomalies such as azygous continuation, biliary atresia, bowel obstruction and polysplenia. Fetal MR was a useful additional tool in the assessment of fetal abdominal anatomy in both cases. On the basis of these reports, the literature is reviewed and a prenatal management scheme is proposed.

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Citations

Jun 6, 2009·Congenital Anomalies·Satoko KatsuyaIkuo Konishi
Apr 8, 2015·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·I GottschalkC Berg
Jul 15, 2015·Cardiology in the Young·Rohit S LoombaRobert H Anderson
Jul 1, 2011·European Journal of Radiology·Stefan F NemecDaniela Prayer

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