Victoria Teresa, Andronikou Savvas, Bowen Diana, Laje Pablo, Weiss Dana A, Johnson Ann M, Peranteau William H, Canning Douglas A, Adzick N Scott
Radiology Department, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 10104, USA.
Center for Fetal Diagnosis and Treatment, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Pediatr Radiol. 2018 Apr;48(4):499-512. doi: 10.1007/s00247-017-3914-x. Epub 2018 Mar 17.
Abdominal wall defects range from the mild umbilical cord hernia to the highly complex limb-body wall syndrome. The most common defects are gastroschisis and omphalocele, and the rarer ones include the exstrophy complex, pentalogy of Cantrell and limb-body wall syndrome. Although all have a common feature of viscera herniation through a defect in the anterior body wall, their imaging features and, more important, postnatal management, differ widely. Correct diagnosis of each entity is imperative in order to achieve appropriate and accurate prenatal counseling and postnatal management. In this paper, we discuss fetal abdominal wall defects and present diagnostic pearls to aid with diagnosis.
腹壁缺损范围从轻度的脐疝到高度复杂的肢体-体壁综合征。最常见的缺损是腹裂和脐膨出，较罕见的包括泄殖腔外翻综合征、坎特雷尔五联症和肢体-体壁综合征。尽管所有这些疾病都有一个共同特征，即内脏通过前体壁的缺损疝出，但它们的影像学特征，更重要的是出生后的管理，差异很大。为了实现恰当且准确的产前咨询和出生后管理，对每种疾病进行正确诊断至关重要。在本文中，我们讨论胎儿腹壁缺损，并给出有助于诊断的诊断要点。
