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Megacystis-microcolon-intestinal hypoperistalsis syndrome: in utero sonographic appearance and the contribution of vesicocentesis in antenatal diagnosis.
[megacystis-microcolon-intestinal hypoperistalsis syndrome]
The
purpose
of
this
report
is
to
describe
the
in
utero
sonographic
appearance
of
megacystis-
microcolon
-
intestinal
hypoperistalsis
syndrome
(
MMIHS
)
and
examine
the
role
of
vesicocentesis
.
Two
cases
of
the
sonographic
appearance
of
MMIHS
were
reviewed
.
We
performed
vesicocentesis
in
2
fetuses
with
MMIHS
and
performed
vesicoamniotic
shunting
in
1
of
them
.
The
sonographic
findings
after
these
procedures
were
compared
with
those
before
puncture
.
In
both
cases
,
ultrasound
examination
showed
a
massively
enlarged
fetal
bladder
and
bilateral
hydroureteronephrosis
with
a
normal
amount
of
amniotic
fluid
.
Fetal
urinary
sodium
and
chloride
concentrations
were
within
normal
limits
in
both
cases
;
this
suggested
normal
fetal
renal
function
.
Generally
,
it
is
difficult
to
detect
the
dilated
fetal
bowel
in
MMIHS
,
probably
because
of
the
disturbance
caused
by
a
large
bladder
.
In
our
cases
,
however
,
the
ultrasound
examination
clearly
showed
fetal
bowel
dilatation
after
these
procedures
;
this
made
the
antenatal
diagnosis
of
MMIHS
more
definite
.
The
sonographic
features
after
vesicocentesis
may
be
helpful
in
confirming
the
antenatal
diagnosis
of
MMIHS
.
Diseases
Validation
Diseases presenting
"normal fetal renal function"
symptom
megacystis-microcolon-intestinal hypoperistalsis syndrome
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