August 23rd, 2019

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Efficacy of Prenatal Ultrasonographic Examinations in Diagnosing Abdominal Developmental Disorders
Authors:  Fanni Rebeka Eros, M.D., Zsolt Tidrenczel, M.D., István Szabó, M.D., Ph.D., Ágnes Harmath, M.D., Ph.D., János Rigó, Jr., M.D., Ph.D., D.Sc., and Artur Beke, M.D., Ph.D.
  OBJECTIVE: To examine the efficacy of prenatal ultrasonographic diagnostics in identifying abdominal and abdominal wall malformations.

STUDY DESIGN: In this study we have processed the prenatal ultrasonography and postnatal clinical and fetopathological data of 240 abdominal and abdominal wall abnormalities in 216 fetuses with abdominal and abdominal wall anomalies over a 7-year period.

RESULTS: Prenatal ultrasonographic diagnosis and postnatal/fetopathological results were fully congruent in 60.2% (130/216) of patients in postnatal or fetopathological examinations in cases of abdominal and abdominal wall abnormalities. In 31/216 cases (14.4%) discovery was partial, while in 55/216 (25.5%) no abdominal or abdominal wall malformations were detected prenatally. Isolated abdominal and abdominal wall abnormalities occurred in 130 cases; in 93 cases (71.5%) the results of prenatal ultrasonography and postnatal/postabortion tests were fully congruent. In 20 cases (15.4%) the discovery was partial, and in 17 cases (13.1%) the diagnoses were different.

CONCLUSION: In about 50% of the cases, postnatally/fetopathologically diagnosed anomalies coincided with the prenatally detected fetal abdominal developmental abnormalities. Based on the results, ultrasonography plays a significant role in diagnosing abdominal abnormalities but fails to detect all of the abdominal developmental anomalies.
Keywords:  abdominal developmental disorders, efficacy of ultrasonography, prenatal ultrasonographic diagnosis, ultrasonography
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