[Prenatal and neonatal management of digestive tract duplications. Diagnostic difficulties and therapeutic implications]

J Gynecol Obstet Biol Reprod (Paris). 1999 Jul;28(4):388-92.
[Article in French]

Abstract

Objective: To insist on the difficulty of the antenatal diagnosis of digestive duplications, to show the importance of a complete malformative screening, and the need for immediate management at birth.

Material and methods: A cystic duplication of the tongue, a duplication, abdomino-thoracic transdiaphragmatic, and a duplication of the small bowel are described and compared with cases previously reported in th literature.

Results: Antenatal evacuation puncture of a duplication of the tongue must be reserved for exceptional situations. Foregut duplications are often associated with other malformations. The duplication of the small intestine can exceptionally expose to a mechanical complication, mostly during the postnatal period, which may require emergency surgery.

Conclusion: Duplications of the alimentary tract should be detectable on prenatal ultrasound examination. A complete antenatal malformative screening is required and in utero transfer is warranted because emergency surgery may be required.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / diagnostic imaging*
  • Abnormalities, Multiple / genetics
  • Abnormalities, Multiple / surgery*
  • Adolescent
  • Adult
  • Female
  • Humans
  • Intestine, Small / abnormalities*
  • Karyotyping
  • Male
  • Mesentery / abnormalities*
  • Stomach / abnormalities*
  • Tongue / abnormalities*
  • Ultrasonography, Prenatal*