First trimester imaging of fetal anterior wall defect by three-dimensional Doppler sonography. Perinatal Journal 2014;22(3):SE7
- Süleyman Demirel Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı- Isparta TR
Mekin Sezik, Süleyman Demirel Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı- Isparta TR,
Conflicts of Interest
No conflicts declared.
Differentiation between omphalocele and gastroschisis during late first trimester is of importance. A diagnosis of omphalocele requires meticulous search for chromosomal and cardiac abnormalities, whereas gastroschisis is rarely associated with severe additional anomalies. We used three-dimensional color Doppler techniques for early differentiation of these two conditions.
A 20-year-old G1P0 woman was seen at 13 weeks’ gestation. A fetal anterior wall defect was present (Figure 1). Three-dimensional color Doppler clearly demonstrated the lateral course and insertion of the umbilical cord and sac-free intestinal loops (Figure 2). Tomographic ultrasound imaging (TUI) aided the definitive diagnosis of gastroschisis (Figure 3).
Three-dimensional color Doppler techniques such as TUI may be useful for differentiation of omphalocele and gastroschisis during late first trimester.
Gastroschisis, omphalocele, three-dimensional ultrasonography
Anterior wall defect
Lateral insertion of the umbilical cord and sac-free intestinal loops
Tomographic ultrasound imaging of gastroschisis