AI Article Synopsis
- The study reviewed fetal MRI cases of meconium ileus (MI) and obstruction, focusing on distinguishing complicated MI through imaging features.
- Seven cases were analyzed, revealing key MRI characteristics like the gradient appearance of bowel contents and an abnormal meconium signal, which were confirmed through surgical procedures.
- The authors advocate for including fetal MRI in the diagnosis of suspected bowel obstruction during pregnancy to enhance risk assessment and management.
Article Abstract
Objective: To review fetal MRI cases surgically proven to have meconium ileus (MI) and obstruction, describe the common fetal MRI findings that distinguish cases of complicated MI, and to compare these findings with surgical images and perinatal outcomes.
Method: We performed a retrospective review of all fetal MRI examinations and the corresponding medical record from our tertiary care children's hospital over an 18-month period. Postnatal management and outcomes were reviewed for these patients, and those patients with surgical or postmortem diagnosis of complicated MI were included in the study.
Results: Our analysis revealed 7 cases. In this cohort, 3 imaging features of the fetal bowel were repeatedly seen: gradient appearance of intraluminal bowel contents, abnormally localized meconium signal, and collapsed appearance of the colon on MRI. Surgical diagnoses confirmed MI. All live-born infants underwent surgical repair.
Conclusion: Fetal MRI should be included in the diagnostic algorithm of any pregnancy where fetal bowel obstruction is suspected to better risk stratify patients.
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| http://dx.doi.org/10.1002/pd.5296 | DOI Listing |
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