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Chinese Journal of Medical Ultrasound (Electronic Edition) ›› 2017, Vol. 14 ›› Issue (08): 613-617. doi: 10.3877/cma.j.issn.1672-6448.2017.08.009

Special Issue: Ultrasound medicine

• Obstetric and Gynecologic Ultrasound • Previous Articles     Next Articles

Prenatal diagnosis of intrauterine intussusception by ultrasonography

Shuang Liu1, Yuqing Ma1, Qingqing Wu1,()   

  1. 1. Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China
  • Received:2017-03-06 Online:2017-08-01 Published:2017-08-01
  • Contact: Qingqing Wu
  • About author:
    Corresponding author: Wu Qingqing, Email:

Abstract:

Objective

To discuss the prenatal ultrasound manifestations of intrauterine intussusception.

Methods

An analysis of prenatal ultrasound findings and postnatal features was performed on five cases of fetuses with intrauterine intussusception that were identified by ultrasonography at Beijing Obstetrics and Gynecology Hospital, in the period of January 2014 to December 2016.

Results

The 5 fetuses with intrauterine intussusception were diagnosed based on the typical ″target sign″, ″telescope sign″, ″doughnut sign″ and ″crescent-in-doughnut sign ″in ultrasonography. Indirect and non-specificultrasonographic signs included dilatation of intestine and ascites. Three cases of emergency caesarian section were performed, and infants underwent surgeries. The intraoperative findings confirmed the prenatal diagnosis, and postoperativelythe infantsrecovered uneventfully. In another 2 cases, whichwere suspected the presence of meconium peritonitis, fetus prematurely bornvia a spontaneous vaginal delivery, and the intraoperative findings confirmed the prenatal diagnosis. However, intestinal atresia occurred, and the neonates died postoperatively.

Conclusions

Fetuses with intrauterine intussusceptionshad characteristic ″target sign″, ″telescope sign″, ″doughnut sign″ and ″crescent-in-doughnut sign″ in ultrasonography. Ultrasonography may be used as the first choice for prenatal diagnosis of this disease. Prenatal diagnosis of intrauterine intussusception can provide guidance for clinical obstetrical management and postnatal treatment.

Key words: Ultrasonography, prenatal, Fetus, Congenital abnormalities, Intrauterineintussus ception

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