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Prenatal diagnosis of enterolithiasis at 18 weeks: multiple foci of intraluminal calcified meconium within echogenic bowel.
J Med Ultrason (2001). 2015 Jan; 42(1):113-6.JM

Abstract

Enterolithiasis is an uncommon finding of a dilated hyperechogenic bowel with multiple ball-like echogenic structures at a routine prenatal check-up using ultrasonography. We here report a case of prenatally diagnosed enterolithiasis at 18 weeks of gestation, showing multiple hyperechogenic foci rolling within the bowel fluid after peristalsis. The size of the dilated bowel gradually increased during pregnancy. Magnetic resonance image demonstrated the dilated lower bowel with blind-ending rectum. A postnatal contrast medium study with retrograde urethrography revealed a middle imperforate anus and a rectourethral fistula. A careful examination, even before 20 weeks of gestation, is extremely useful in demonstrating intraluminal coarse calcifications within an echogenic bowel.

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Authors+Show Affiliations

Department of Obstetrics and Gynecology, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan.

Department of Obstetrics and Gynecology, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan.

Department of Obstetrics and Gynecology, Saiseikai Takaoka Hospital, 387-1 Futazuka, Takaoka, 933-8525, Japan.

Department of Obstetrics and Gynecology, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan.

Department of Obstetrics and Gynecology, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan.

Department of Obstetrics and Gynecology, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan.

Department of Obstetrics and Gynecology, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan.

Department of Obstetrics and Gynecology, Saiseikai Takaoka Hospital, 387-1 Futazuka, Takaoka, 933-8525, Japan.

Department of Obstetrics and Gynecology, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan. s30saito@med.u-toyama.ac.jp.

MeSH

AdultCalcinosisFemaleHumansIntestinal DiseasesMeconiumPregnancyPregnancy Trimester, SecondUltrasonography, Prenatal

Pub Type(s)

Case Reports

Journal Article

Language

eng

PubMed ID

26578499

Citation

Shiozaki, Arihiro, et al. "Prenatal Diagnosis of Enterolithiasis at 18 Weeks: Multiple Foci of Intraluminal Calcified Meconium Within Echogenic Bowel." Journal of Medical Ultrasonics (2001), vol. 42, no. 1, 2015, pp. 113-6.

Shiozaki A, Yoneda S, Iizuka T, et al. Prenatal diagnosis of enterolithiasis at 18 weeks: multiple foci of intraluminal calcified meconium within echogenic bowel. J Med Ultrason (2001). 2015;42(1):113-6.

Shiozaki, A., Yoneda, S., Iizuka, T., Kusabiraki, T., Ito, M., Ito, M., Yoneda, N., Yoshimoto, H., & Saito, S. (2015). Prenatal diagnosis of enterolithiasis at 18 weeks: multiple foci of intraluminal calcified meconium within echogenic bowel. Journal of Medical Ultrasonics (2001), 42(1), 113-6. https://doi.org/10.1007/s10396-014-0561-9

Shiozaki A, et al. Prenatal Diagnosis of Enterolithiasis at 18 Weeks: Multiple Foci of Intraluminal Calcified Meconium Within Echogenic Bowel. J Med Ultrason (2001). 2015;42(1):113-6. PubMed PMID: 26578499.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Prenatal diagnosis of enterolithiasis at 18 weeks: multiple foci of intraluminal calcified meconium within echogenic bowel. AU - Shiozaki,Arihiro, AU - Yoneda,Satoshi, AU - Iizuka,Takashi, AU - Kusabiraki,Tae, AU - Ito,Masami, AU - Ito,Mika, AU - Yoneda,Noriko, AU - Yoshimoto,Hideo, AU - Saito,Shigeru, Y1 - 2014/07/30/ PY - 2014/01/08/received PY - 2014/06/23/accepted PY - 2015/11/19/entrez PY - 2015/11/19/pubmed PY - 2016/7/28/medline KW - Echogenic bowel KW - Enterolithiasis KW - Imperforate anus KW - Intraluminal calcification KW - Rectourethral fistula SP - 113 EP - 6 JF - Journal of medical ultrasonics (2001) JO - J Med Ultrason (2001) VL - 42 IS - 1 N2 - Enterolithiasis is an uncommon finding of a dilated hyperechogenic bowel with multiple ball-like echogenic structures at a routine prenatal check-up using ultrasonography. We here report a case of prenatally diagnosed enterolithiasis at 18 weeks of gestation, showing multiple hyperechogenic foci rolling within the bowel fluid after peristalsis. The size of the dilated bowel gradually increased during pregnancy. Magnetic resonance image demonstrated the dilated lower bowel with blind-ending rectum. A postnatal contrast medium study with retrograde urethrography revealed a middle imperforate anus and a rectourethral fistula. A careful examination, even before 20 weeks of gestation, is extremely useful in demonstrating intraluminal coarse calcifications within an echogenic bowel. SN - 1613-2254 UR - https://www.unboundmedicine.com/medline/citation/26578499/Prenatal_diagnosis_of_enterolithiasis_at_18_weeks:_multiple_foci_of_intraluminal_calcified_meconium_within_echogenic_bowel_ DB - PRIME DP - Unbound Medicine ER -