Analiza etioloških faktora i ishoda trudnoće u slučajevima fetalnog hiperehogenog creva
Analysis of etiological factors and pregnancy outcome in cases of fetal hyperechogenic bowel
Abstract
Cilj. Prevalenca fetalnog hiperehogenog creva je 0,2 do 1,8%. Cilj ovog istraživanja je bio da se ispitaju etiološki faktori odgovorni za nastanak fetalnog hiperehogenog creva i njihov prognostički značaj na tok i ishod trudnoće, kao i da se preporuči optimalna dijagnostička strategija prilikom kliničkog tretmana ovog poremećaja. Metode. Podaci o prisutnim etiološkim faktorima i ishodu trudnoće prikupljani su telefonskim intervjuisanjem 40 trudnica kod kojih je prilikom rutinskih ultrazvučnih pregleda konstatovano prisustvo fetalnog hiperehogenog creva. Ukupno 12 žena je pristalo da obezbedi potrebne podatke. Njihovi odgovori bili su zasnovani na medicinskoj dokumentaciji, obezbeđenoj tokom njihovih trudnoća. Podaci su analizirani korišćenjem deskriptivne statistike. Rezultati. Najčešći etiološki faktor odgovoran za javljanje fetalnog hiperehogenog creva predstavlja citomegalovirusna infekcija tokom prva dva trimestra trudnoće, dok su prisustvo hromozomskih anomalija i cistična fibroza... retko odgovorni za njegov nastanak. U jednom slučaju (8,3%) potvrđeno je prisustvo Daunovog sindroma, u četiri slučaja (33,3%) konstatovana je citomegalovirusna infekcija, dok mutacije u CFTR genu nisu otkrivene ni u jednom slučaju. Ishod trudnoće u svim slučajevima u kojima ultrazvuk pokazuje samo prisustvo fetalne hiperehogenih creva novorođenčeta je bilo živorođeno novorođenče, dok je u slučajevima sa drugim ultrazvučnih nalaza učešće živorođenosti bilo 55 procenata. Zaključak. Ultrazvučni nalaz fetalnog hiperehogenog creva tokom trudnoće predstavlja ozbiljan klinički nalaz koji opravdava primenu invazivnih dijagnostičkih procedura i agresivnu diferencijalno dijagnostičku pretragu.
Objective. The prevalence of fetal hyperechogenic bowel is 0.2% to 1.8%. The aim of this study was to examine etiological factors responsible for pathogenesis of fetal hyperechogenic bowel, to investigate their prognostic importance for the progression and outcome of pregnancy and to assess optimal diagnostic strategy of this condition. Methods. The information on etiological factors and pregnancy outcome were collected through telephone interviews with 40 pregnant women with fetal hyperechogenic bowel found on routine ultrasound examination. The total of 12 (30%) women agreed to provide the required information. Their answers were based on medical documentation, provided during their respective pregnancies. Data were analyzed using descriptive statistics. Results. The most common etiological factor in cases of fetal hyperechogenic bowel is infection with cytomegalovirus during the first two trimesters of the pregnancy, while the presence of the chromosome anomalies and cystic fibrosis... are responsible for the occurrence of this clinical entity only in a minority of cases. In one of the analyzed cases (8.3%) Down's syndrome was confirmed in fetus, in four cases (33.3%) cytomegalovirus infection was found, while mutations in the CFTR gene were not found in fetus' parents in any of analyzed cases. Outcome of pregnancy in all cases in which the ultrasound examination showed only the presence of fetal hyperechogenic bowel was live newborn, while in cases with other ultrasound findings the contribution of live newborn was 55 percent. Conclusion. Ultrasound of fetal echogenic bowel during pregnancy is a serious clinical condition that justifies the use of invasive diagnostic procedures and aggressive differential diagnostic search.
Keywords:
hromozomske aberacije / fetus / ehogeno crevo / citomegalovirusna infekcija / cistična fibroza / fetus / echogenic bowel / cytomegalovirus infections / cystic fibrosis / chromosome aberrationsSource:
Medicinski Casopis, 2012, 46, 2, 77-81Publisher:
- Srpsko lekarsko društvo - Okružna podružnica Kragujevac, Kragujevac
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Institut za molekularnu genetiku i genetičko inženjerstvoTY - JOUR AU - Obradović, Danilo AU - Nikolić, Aleksandra AU - Dukanac, Jelena AU - Ljubić, Aleksandar PY - 2012 UR - https://imagine.imgge.bg.ac.rs/handle/123456789/577 AB - Cilj. Prevalenca fetalnog hiperehogenog creva je 0,2 do 1,8%. Cilj ovog istraživanja je bio da se ispitaju etiološki faktori odgovorni za nastanak fetalnog hiperehogenog creva i njihov prognostički značaj na tok i ishod trudnoće, kao i da se preporuči optimalna dijagnostička strategija prilikom kliničkog tretmana ovog poremećaja. Metode. Podaci o prisutnim etiološkim faktorima i ishodu trudnoće prikupljani su telefonskim intervjuisanjem 40 trudnica kod kojih je prilikom rutinskih ultrazvučnih pregleda konstatovano prisustvo fetalnog hiperehogenog creva. Ukupno 12 žena je pristalo da obezbedi potrebne podatke. Njihovi odgovori bili su zasnovani na medicinskoj dokumentaciji, obezbeđenoj tokom njihovih trudnoća. Podaci su analizirani korišćenjem deskriptivne statistike. Rezultati. Najčešći etiološki faktor odgovoran za javljanje fetalnog hiperehogenog creva predstavlja citomegalovirusna infekcija tokom prva dva trimestra trudnoće, dok su prisustvo hromozomskih anomalija i cistična fibroza retko odgovorni za njegov nastanak. U jednom slučaju (8,3%) potvrđeno je prisustvo Daunovog sindroma, u četiri slučaja (33,3%) konstatovana je citomegalovirusna infekcija, dok mutacije u CFTR genu nisu otkrivene ni u jednom slučaju. Ishod trudnoće u svim slučajevima u kojima ultrazvuk pokazuje samo prisustvo fetalne hiperehogenih creva novorođenčeta je bilo živorođeno novorođenče, dok je u slučajevima sa drugim ultrazvučnih nalaza učešće živorođenosti bilo 55 procenata. Zaključak. Ultrazvučni nalaz fetalnog hiperehogenog creva tokom trudnoće predstavlja ozbiljan klinički nalaz koji opravdava primenu invazivnih dijagnostičkih procedura i agresivnu diferencijalno dijagnostičku pretragu. AB - Objective. The prevalence of fetal hyperechogenic bowel is 0.2% to 1.8%. The aim of this study was to examine etiological factors responsible for pathogenesis of fetal hyperechogenic bowel, to investigate their prognostic importance for the progression and outcome of pregnancy and to assess optimal diagnostic strategy of this condition. Methods. The information on etiological factors and pregnancy outcome were collected through telephone interviews with 40 pregnant women with fetal hyperechogenic bowel found on routine ultrasound examination. The total of 12 (30%) women agreed to provide the required information. Their answers were based on medical documentation, provided during their respective pregnancies. Data were analyzed using descriptive statistics. Results. The most common etiological factor in cases of fetal hyperechogenic bowel is infection with cytomegalovirus during the first two trimesters of the pregnancy, while the presence of the chromosome anomalies and cystic fibrosis are responsible for the occurrence of this clinical entity only in a minority of cases. In one of the analyzed cases (8.3%) Down's syndrome was confirmed in fetus, in four cases (33.3%) cytomegalovirus infection was found, while mutations in the CFTR gene were not found in fetus' parents in any of analyzed cases. Outcome of pregnancy in all cases in which the ultrasound examination showed only the presence of fetal hyperechogenic bowel was live newborn, while in cases with other ultrasound findings the contribution of live newborn was 55 percent. Conclusion. Ultrasound of fetal echogenic bowel during pregnancy is a serious clinical condition that justifies the use of invasive diagnostic procedures and aggressive differential diagnostic search. PB - Srpsko lekarsko društvo - Okružna podružnica Kragujevac, Kragujevac T2 - Medicinski Casopis T1 - Analiza etioloških faktora i ishoda trudnoće u slučajevima fetalnog hiperehogenog creva T1 - Analysis of etiological factors and pregnancy outcome in cases of fetal hyperechogenic bowel EP - 81 IS - 2 SP - 77 VL - 46 DO - 10.5937/mckg46-1155 ER -
@article{ author = "Obradović, Danilo and Nikolić, Aleksandra and Dukanac, Jelena and Ljubić, Aleksandar", year = "2012", abstract = "Cilj. Prevalenca fetalnog hiperehogenog creva je 0,2 do 1,8%. Cilj ovog istraživanja je bio da se ispitaju etiološki faktori odgovorni za nastanak fetalnog hiperehogenog creva i njihov prognostički značaj na tok i ishod trudnoće, kao i da se preporuči optimalna dijagnostička strategija prilikom kliničkog tretmana ovog poremećaja. Metode. Podaci o prisutnim etiološkim faktorima i ishodu trudnoće prikupljani su telefonskim intervjuisanjem 40 trudnica kod kojih je prilikom rutinskih ultrazvučnih pregleda konstatovano prisustvo fetalnog hiperehogenog creva. Ukupno 12 žena je pristalo da obezbedi potrebne podatke. Njihovi odgovori bili su zasnovani na medicinskoj dokumentaciji, obezbeđenoj tokom njihovih trudnoća. Podaci su analizirani korišćenjem deskriptivne statistike. Rezultati. Najčešći etiološki faktor odgovoran za javljanje fetalnog hiperehogenog creva predstavlja citomegalovirusna infekcija tokom prva dva trimestra trudnoće, dok su prisustvo hromozomskih anomalija i cistična fibroza retko odgovorni za njegov nastanak. U jednom slučaju (8,3%) potvrđeno je prisustvo Daunovog sindroma, u četiri slučaja (33,3%) konstatovana je citomegalovirusna infekcija, dok mutacije u CFTR genu nisu otkrivene ni u jednom slučaju. Ishod trudnoće u svim slučajevima u kojima ultrazvuk pokazuje samo prisustvo fetalne hiperehogenih creva novorođenčeta je bilo živorođeno novorođenče, dok je u slučajevima sa drugim ultrazvučnih nalaza učešće živorođenosti bilo 55 procenata. Zaključak. Ultrazvučni nalaz fetalnog hiperehogenog creva tokom trudnoće predstavlja ozbiljan klinički nalaz koji opravdava primenu invazivnih dijagnostičkih procedura i agresivnu diferencijalno dijagnostičku pretragu., Objective. The prevalence of fetal hyperechogenic bowel is 0.2% to 1.8%. The aim of this study was to examine etiological factors responsible for pathogenesis of fetal hyperechogenic bowel, to investigate their prognostic importance for the progression and outcome of pregnancy and to assess optimal diagnostic strategy of this condition. Methods. The information on etiological factors and pregnancy outcome were collected through telephone interviews with 40 pregnant women with fetal hyperechogenic bowel found on routine ultrasound examination. The total of 12 (30%) women agreed to provide the required information. Their answers were based on medical documentation, provided during their respective pregnancies. Data were analyzed using descriptive statistics. Results. The most common etiological factor in cases of fetal hyperechogenic bowel is infection with cytomegalovirus during the first two trimesters of the pregnancy, while the presence of the chromosome anomalies and cystic fibrosis are responsible for the occurrence of this clinical entity only in a minority of cases. In one of the analyzed cases (8.3%) Down's syndrome was confirmed in fetus, in four cases (33.3%) cytomegalovirus infection was found, while mutations in the CFTR gene were not found in fetus' parents in any of analyzed cases. Outcome of pregnancy in all cases in which the ultrasound examination showed only the presence of fetal hyperechogenic bowel was live newborn, while in cases with other ultrasound findings the contribution of live newborn was 55 percent. Conclusion. Ultrasound of fetal echogenic bowel during pregnancy is a serious clinical condition that justifies the use of invasive diagnostic procedures and aggressive differential diagnostic search.", publisher = "Srpsko lekarsko društvo - Okružna podružnica Kragujevac, Kragujevac", journal = "Medicinski Casopis", title = "Analiza etioloških faktora i ishoda trudnoće u slučajevima fetalnog hiperehogenog creva, Analysis of etiological factors and pregnancy outcome in cases of fetal hyperechogenic bowel", pages = "81-77", number = "2", volume = "46", doi = "10.5937/mckg46-1155" }
Obradović, D., Nikolić, A., Dukanac, J.,& Ljubić, A.. (2012). Analiza etioloških faktora i ishoda trudnoće u slučajevima fetalnog hiperehogenog creva. in Medicinski Casopis Srpsko lekarsko društvo - Okružna podružnica Kragujevac, Kragujevac., 46(2), 77-81. https://doi.org/10.5937/mckg46-1155
Obradović D, Nikolić A, Dukanac J, Ljubić A. Analiza etioloških faktora i ishoda trudnoće u slučajevima fetalnog hiperehogenog creva. in Medicinski Casopis. 2012;46(2):77-81. doi:10.5937/mckg46-1155 .
Obradović, Danilo, Nikolić, Aleksandra, Dukanac, Jelena, Ljubić, Aleksandar, "Analiza etioloških faktora i ishoda trudnoće u slučajevima fetalnog hiperehogenog creva" in Medicinski Casopis, 46, no. 2 (2012):77-81, https://doi.org/10.5937/mckg46-1155 . .