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pregnancy and duodenal atresia

Shilpa Sharma, Ranjana Bhanot, Dipika Deka, Minu Bajpai, Devendra K Gupta
AIM: To analyze the impact of counseling on antenatal congenital surgical anomalies (ACSA). METHODS: Cases presenting with ACSA for fetal counseling and those presenting in post-natal period following diagnosis of ACSA (PACSA) for surgical opinion were analyzed for spectrum, presentation and outcome. RESULTS: 117 cases including ACSA(68);PACSA(49) were analyzed. Gestational age at diagnosis of ACSA;PACSA was 17-37;17-39 weeks (median 24;32 weeks)...
November 18, 2016: Pediatric Surgery International
Kamal Nain Rattan, Jasbir Singh, Poonam Dalal
BACKGROUND: Congenital duodenal obstruction is one of the commonest causes of neonatal intestinal obstruction. We are presenting our 15-year experience by analyzing clinical spectrum and outcome in neonates with duodenal obstruction admitted at our center. MATERIAL AND METHODS: The hospital records of all neonates admitted with duodenal obstruction from June 2000 to June 2015 were reviewed. The patient records were analyzed for antenatal diagnosis, age, sex, clinical presentation, diagnosis, associated anomalies, surgical procedures performed; postoperative morbidity and mortality...
April 2016: Journal of Neonatal Surgery
Anna Kucińska-Chahwan, Anna Posiewka, Julia Bijok, Grzegorz Jakiel, Tomasz Roszkowski
OBJECTIVE: The objective of this study is to determine the risk of aneuploidy, associated structural anomalies, and pregnancy outcome in the presence of prenatal double bubble sign detection. METHOD: We have performed a retrospective study on ultrasound reports and pregnancy outcomes in 42 fetuses with double bubble sign examined in our ultrasound department between 1998 and 2013. RESULTS: Additional major defects or aneuploidy markers were present in 24 fetuses...
November 2015: Prenatal Diagnosis
J Jeremić, K Jeremić, A Stefanović, M Gojnić, J Stojnić, Z Nikolić
The estimated incidence of melanoma complicating pregnancy has ranged from 0.1 to 2.8 per 1,000 pregnancies. Here the Authors present a case of a 40-year-old pregnant woman, who was admitted to the Clinic of Obstetrics and Gynaecology in 26 weeks of gestation, with diagnosis of melanoma and suspected with fetal anomaly, as possible bowel obstruction, and polyhydraminos. The melanoma was asported with a wide local excision under local anesthesia. Histological evaluation revealed melanoma Stage Ib (Clark IV, Breslow thickness 1...
2015: Clinical and Experimental Obstetrics & Gynecology
Melanie Christofferson, Akwugo A Eziefule, Carla A Martinez, Michael S Cardwell
BACKGROUND: Duodenal atresia is a rare disorder occurring in 1 in 10,000 live births. Duodenal atresia is associated with trisomy 21: 5-15% of trisomy 21 cases have duodenal atresia and 30% of duodenal atresia cases are associated with trisomy 21. Some cases of duodenal atresia may be recurrent. CASE: Two siblings were born with duodenal atresia but no other anomalies. The father of the siblings also had isolated congenital duodenal atresia. CONCLUSION: Recurrent duodenal atresia should be considered when the condition is discovered prenatally...
September 2014: Journal of Reproductive Medicine
Ana Catarina Fragoso, Leopoldo Martinez, José Estevão-Costa, Juan A Tovar
PURPOSE: Gastrointestinal malformations such as esophageal atresia with tracheoesophageal fistula (EA/TEF) and duodenal atresia (DA) have been reported in infants born to hyperthyroid mothers or with congenital hypothyroidism. The present study aimed to test whether maternal thyroid status during embryonic foregut division has any influence on the prevalence of EA/TEF and DA in an accepted rat model of these malformations. METHODS: Pregnant rats received either vehicle or 1...
February 2014: Pediatric Surgery International
Gan-qiong Xu, Qi-chang Zhou, Ming Zhang, Da-rong Pu, Zhu Ouyang
Tracheal agenesis is a rare and potentially lethal congenital anomaly. The incidence is less than 1/50,000, with a male:female ratio of 2:1. We report the case of a male fetus with complete agenesis of the trachea and a tracheoesophageal fistula arising from the esophagus that connected through the carina, as well as several abnormalities (congenital cardiac abnormalities, duodenal atresia, vertebral defects, anal atresia, renal defects, limb defects, and diaphragmatic hernia). To our knowledge, few cases of infants with VACTERL or TACRD association have been reported to date...
December 2013: International Journal of Pediatric Otorhinolaryngology
Tomonobu Kanasugi, Akihiko Kikuchi, Atsushi Matsumoto, Miyuki Terata, Chizuko Isurugi, Rie Oyama, Akimune Fukushima, Toru Sugiyama
We report a rare case of a monochorionic twin gestation after intracytoplasmic sperm injection (ICSI) in which one of the fetuses had VACTERL association. A 27-year-old woman became pregnant by ICSI and was found to have monochorionic twin fetuses. One fetus was noted to have the following anomalies: a multicystic, dysplastic left kidney with a hydroureter, and a dilated colon. A normal-sized stomach and normal amount of amniotic fluid were observed during the prenatal period with no other anomalies. The postnatal examination revealed hypospadias, and anal, esophageal, and duodenal atresia; thus, a diagnosis of VACTERL association was established...
June 2013: Congenital Anomalies
O K Botvin'ev, A V Eremeeva, E V Kondrikova
The specific features of intrauterine development and pheno- and genotypic characteristics were studied in newborn infants with duodenal atresia. Main anthropometric parameters at birth (weight, height, and head and chest circumferences), concomitant developmental malformations, gene frequencies and phenotypic combinations of ABO and Rhesus factor blood groups were analyzed. The babies with duodenal atresia were found to have considerably impaired intrauterine development, multiple concomitant hypoplastic developmental abnormalities, significantly higher frequencies of the ORh+ phenotype, and lower frequencies of the ARh+ phenotype...
September 2012: Arkhiv Patologii
Samantha E Parker, Martha M Werler, Gary M Shaw, Marlene Anderka, Mahsa M Yazdy
Prepregnancy diabetes and obesity have been identified as independent risk factors for several birth defects, providing support for a mechanism that involves hyperglycemia and hyperinsulinemia in the development of malformations. Data from the National Birth Defects Prevention Study from 1997 to 2007 were used to investigate the association between the maternal dietary glycemic index (DGI) and the risk of birth defects among nondiabetic women. DGI was categorized by using spline regression models and quartile distributions...
December 15, 2012: American Journal of Epidemiology
Amy L Reeder, Robert A Botham, Krzysztof M Zaremba, Peter F Nichol
BACKGROUND: Homozygous null mutation of the fibroblast growth factor receptor 2IIIb (Fgfr2IIIb) gene in mice results in 42% of embryos developing duodenal atresias. Retinaldehyde dehydrogenase 2 (Raldh2, a gene critical for the generation of retinoic acid) is expressed in the mouse duodenum during the temporal window when duodenal atresias form. Raldh2 is critical for the normal development of the pancreatoduodenal region; therefore, we were interested in the effect of a Raldh2 mutation on duodenal atresia formation...
October 2012: Surgery
Kate E Best, Peter W G Tennant, Marie-Claude Addor, Fabrizio Bianchi, Patricia Boyd, Elisa Calzolari, Carlos Matias Dias, Berenice Doray, Elizabeth Draper, Ester Garne, Miriam Gatt, Ruth Greenlees, Martin Haeusler, Babak Khoshnood, Bob McDonnell, Carmel Mullaney, Vera Nelen, Hanitra Randrianaivo, Anke Rissmann, Joaquin Salvador, David Tucker, Diana Wellesly, Judith Rankin
BACKGROUND: The epidemiology of congenital small intestinal atresia (SIA) has not been well studied. This study describes the presence of additional anomalies, pregnancy outcomes, total prevalence and association with maternal age in SIA cases in Europe. METHODS: Cases of SIA delivered during January 1990 to December 2006 notified to 20 EUROCAT registers formed the population-based case series. Prevalence over time was estimated using multilevel Poisson regression, and heterogeneity between registers was evaluated from the random component of the intercept...
September 2012: Archives of Disease in Childhood. Fetal and Neonatal Edition
Sidney Pereira Pinto Lemos, José Luiz Martins, Patrícia Veruska Ribeiro Barbosa Lemos, Silvio Romero Gonçalves e Silva, Fernando Leandro dos Santos, Valdemiro Amaro da Silva Júnior
PURPOSE: The pathophysiology of abnormalities associated with myenteric plexus lesions remains imperfectly understood. Such abnormalities have been correlated with subocclusive intestinal conditions in children with Hirschsprung's disease, cases of chronic constipation and, postoperatively, in cases of anorectal anomalies. This study evaluated abnormalities of the myenteric plexus in fetus from female rats that received ethylenethiourea. METHODS: Female rats were exposed to ethylenethiourea on the 11(th) day of pregnancy (experimental group) or to 0...
March 2012: Acta Cirúrgica Brasileira
Maricela Guerrero-González, Marina Fernández del Campo-Chenqe, Juan Manuel Ortiz-Trejo
BACKGROUND: Jarcho Levin syndrome is an eponymous syndrome consisting with a set of multiple vertebral and rib anomalies, characterized by a short neck, short trunk and short height, which trigger respiratory failure and early neonatal death. The frequency and spectrum of morphological defects in the environment is unknown. This article reports a case. CASE REPORT: a female newborn, product of the third pregnancy in a woman of 29 years, with a history of three previous miscarriages; she had a twin pregnancy and hypothyroidism later...
September 2011: Revista Médica del Instituto Mexicano del Seguro Social
H Lehnen, G Schwennicke, W Rommen, K Mayer, R Maiwald
A double-bubble sign was detected by ultrasonography in a GII, PII, who suffers from Ehlers-Danlos syndrome type II. The delivery was done by Caesarean section based on the suspicion of premature placental separation. Postnatally, the child was found to have duodenal atresia caused by an annular pancreas. These features have not been described in EDS so far. Molecular genetic analysis showed a novel COL5A1 splice mutation in the mother, which is responsible for the EDS phenotype. The mutation is absent in the male newborn...
April 2011: Zeitschrift Für Geburtshilfe und Neonatologie
David Geneviève, Loïc de Pontual, Jeanne Amiel, Stanislas Lyonnet
No abstract text is available yet for this article.
May 2011: Journal of Pediatric Gastroenterology and Nutrition
Eun Hae Cho, You Sun Kang, Eun Hee Lee
The extra G-positive, C-negative band within 9q13 has been repeatedly found during chromosomal analyses of amniocenteses with a frequency of 2.4 in 1000 (28 cases in 11,890 chromosomal analyses) in the Korean population. All of the carrier parents with this variant did not have any phenotypic abnormalities and 10 cases that were followed after birth showed that all, except 1 patient with duodenal atresia, had no apparent phenotypic abnormalities. The results of Agilent 244 K oligonucleotide array CGH showed no changes of genomic dosages...
2011: Fetal and Pediatric Pathology
Mana Obata-Yasuoka, Hiromi Hamada, Rena Ohara, Atsushi Nakao, Yayoi Miyazono, Hiroyuki Yoshikawa
We report a case of alveolar capillary dysplasia, wherein duodenal atresia was diagnosed during the third trimester. A 36-year-old mother was referred to our hospital for polyhydramnios at 31 weeks' gestation. Duodenal atresia was suspected from the ultrasonographic findings, which showed gastric dilation. Other findings noted were enlarged, highly echogenic lungs, a spherical heart and an increased lung-thorax transverse area ratio. A male infant was born at 37 weeks' gestation. The findings of serial radiography of the infant's upper gastrointestinal tract were compatible with the diagnosis of duodenal atresia; however, he developed persistent pulmonary hypertension of the newborn eight hours after birth and died at five days of age...
July 2011: Journal of Obstetrics and Gynaecology Research
Soyhan Bağci, Andreas Müller, Axel Franz, Andreas Heydweiller, Christoph Berg, Markus M Nöthen, Peter Bartmann, Heiko Reutter
Identification of the 47,XXX karyotype often occurs adventitiously during prenatal fetal karyotyping in cases of advanced maternal age. Although most females with 47,XXX appear healthy at birth, various types of congenital malformations have been reported, of which urinary tract anomalies are the most frequent. We report on 2 newborns with 47,XXX and congenital cardiac defects, one of whom had duodenal atresia and the other an occipital encephalocele. This expands the spectrum of malformations reported in association with the triple-X syndrome...
2010: Fetal Diagnosis and Therapy
A Sípek, V Gregor, J Horácek, Z Stembera, A Sípek, J Klaschka, J Skibová, P Langhammer, L Petrzílková, J Wiesnerová
AIM OF STUDY: An analysis of occurrence of birth defects in children from single and twin pregnancies in the Czech Republic in 1994-2007. An assessment of total numbers and relative incidences of birth defects in births according to Tenth Revision of International Classification of Diseases (ICD-10). TYPE OF STUDY: Retrospective epidemiological analysis of birth defects incidences from the Czech National Birth Defects Register database. MATERIAL AND METHODS: Data from the National Birth Defects Register (Institute for Health Information and Statistics) in the Czech Republic in the 1994-2007 period were used...
October 2009: Ceská Gynekologie
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