The hypoechoic intestine of the fetus is that
Hyperechogenous intestine in the fetus: what is the cause of this pathology, its diagnosis and treatment
Hyperechogenicity refers to the increased brightness of the intestine of an ultrasound image. Echogenicity of the intestine is normal above the echogenicity of other organs.
Detection of this pathology should be done after 16 weeks, since before that even a normal embryo can have an intestine with a high echogenicity. Its increase may indicate the presence of Down's syndrome, so careful monitoring of fetal anatomy is under way.
Sometimes a hyperechoic gut can be found in a fetus with a delay in development.
Hyperechogenous intestine in the fetus occurs only in cases where the echogenicity of the intestine reaches the echogenicity of the bones. If this echographic marker is found, the doctor should treat the finding more closely, since it can be associated with a congenital fetal pathology.
Do not worry right away. To confirm this diagnosis, you will be assigned additional tests and ultrasound. The hyperechoic intestine is diagnosed in every second pregnant woman in the early stages. Moreover, the technique can fail and show results inaccurately.
Such a symptomatology in the fetus is difficult to determine due to the fact that the criteria for its determination are not accurate. Another reason is the technique itself, as the screen properties are different and some just do not allow to notice the pathology. Therefore, do a second study on other equipment with a higher resolution.
What to do if the diagnosis is Hyperechoinitis? Ask your doctor a geneticist, which will help you to make sure the diagnosis is correct or to refute the assumptions.
Sometimes such results may indicate the presence of intrauterine infections, so do not neglect the help of specialists. In some cases, this diagnosis may indicate the presence of obstruction of the intestine of the fetus. In most cases, these signs disappear by the end of pregnancy, so do not panic before consulting a geneticist.
Consequences of the hyperechoic intestine
Data obtained by different researchers indicate that the presence of a hyperechoic gut is the basis for assigning a pregnant woman to a risk group, since she may have a child with cystic fibrosis.
Despite the fact that the hyperechoic intestine can talk about various pathologies of the fetus, most of the cases of detected hyperechogenicity culminated in the birth of children without anomalies.
Treatment of hyperechoic intestine
In cases of the establishment of hyperechoinality of the intestine, a woman should undergo a comprehensive antenatal examination, which will be include the study of karyotype, assessment of ultrasound anatomy of the child, monitoring of his condition, performance of tests for intrauterine infection. Only after that the doctor can give the woman the necessary recommendations for treatment and further management of pregnancy.
Video about fetal development disorders
Hyperechogenous intestine in fetus
By the term "hyperechoic intestine" is meant too bright image of the intestine of the fetus on the monitor of the ultrasound apparatus. It should be noted that the echogenicity of the intestine is greater than the echogenicity of other internal organs located next to it. In the event that the brightness of the intestine approaches the brightness of the image of bones, they speak of hyperechoinality.
Hyperechogenous intestine in the fetus is detected in% of cases in the 2nd trimester of pregnancy. This kind of intestine can be a variant of the norm, or it can be observed if the fetus swallows the blood, which is not digested and remains in the gut lumen. At later stages of pregnancy, the hyperechoic gut indicates the development of meconium peritonitis or meconium ileus, or is a symptom of infection with chickenpox.
Causes of the hyperechoic gut in the fetus
If during the ultrasound examination the fetus has a hyperechoic intestine, the future Mom should not panic, because it is likely that such a state of the fetus may change after some time. But do not forget that hyperechoicness can indicate:
- hereditary chromosomal diseases (eg, Down syndrome);
- retardation of intrauterine development;
- intrauterine infection of the fetus.
It should be remembered that the establishment of hyperechoogenicity does not directly indicate the presence of Down syndrome, but is evidence of an increased risk of developing this syndrome. In this case, it is worth turning to a geneticist to check the results of the biochemical test once more. It is also necessary to be examined for the presence of antibodies to cytomegalovirus, herpes simplex virus, toxoplasmosis, parovirus, rubella.
To exclude the delay of intrauterine development. it is necessary to check additionally:
- Whether there is a backlog of the sizes of a head and a body of a fruit from term of pregnancy;
- whether there is a lack of water;
- whether the blood flow in the vessels of the uterus and fetus, the placenta, is not lowered.
If none of the symptoms is confirmed, then the diagnosis is excluded, and it is necessary to establish another cause of hyperechogenicity.
Consequences of the hyperechoic gut in the fetus
Data obtained by different researchers indicate that the presence of a hyperechoic gut is the basis for assigning a pregnant woman to a risk group, since she may have a child with cystic fibrosis. Despite the fact that the hyperechoic intestine can talk about various pathologies of the fetus,most of the cases of detected hyperechoinality resulted in the birth of children without anomalies.
Treatment of the hyperechoic gut in the fetus
In cases of establishing giperehogennosti bowel, a woman should be conducted a comprehensive antenatal examination, which will be include the study of karyotype, assessment of ultrasound anatomy of the child, monitoring of his condition, performance of tests for intrauterine infection. Only after that the doctor can give the woman the necessary recommendations for treatment and further management of pregnancy.
Hyperechogenous intestine in the fetus: how dangerous is this?
The period of pregnancy is sometimes accompanied not only by a pleasant expectation of an imminent meeting with the child, but also by various pathologies that appear both in women and in the fetus. One of them is the hyperechoic gut in the fetus.
Hyperechogenous intestine in the fetus - what is it?
This is increased than in other intra-abdominal structures, the brightness of the intestine on ultrasound, comparable to the echogenicity of bone tissue. It is observed in most pregnant women, and is the norm in the early stages. Up to 16 weeks, the increased intestinal brightness in the fetus passes, and one can not speak of the presence of pathology.
If after 24 weeks there are still hyperechoic inclusions on ultrasound, a thorough examination is necessary, since they can hide very serious diseases.
Causes of the hyperechoic gut in the fetus
Echogenicity of the intestine in the fetus may increase due to factors:
- the likelihood of a hereditary chromosomal disease, for example, Down's Syndrome;
- intrauterine infection of the fetus with infections such as herpes, cytomegalovirus. toxoplasmosis. rubella in acute forms;
- retardation of intrauterine development of the fetus from the gestation period;
- decrease in the amount of amniotic water, i.e. water scarcity;
- violation of blood circulation in the placenta, also in the vessels of the uterus and fetus;
- cystic fibrosis - disruption of the endocrine glands;
- Congenital abnormalities of the digestive tract of the fetus: small intestine asthma, impairment of peristalsis and obstructive bowel disease.
Important! Echogenicity of the intestine with ultrasound is always slightly higher than that of other abdominal organs, so do not panic until the reasons are established.
Due to the lack of clearly defined criteria, diagnosis of the causes of increased intestinal echogenicity in the fetus is quite a difficult task.
To confirm the diagnosis and establish the exact cause of the pregnant woman appoint:
- biochemical screening (double and triple tests);
- repeated ultrasound after 4 weeks;
- analysis on TORCH infection;
Important! It should be remembered that, depending on the technical characteristics of instruments and ultrasound sensors, the images they produce may differ from each other. Therefore, it is better to conduct ultrasound examinations during pregnancy in different medical institutions.
Down syndrome is the most serious chromosomal pathology of the fetus. which is characterized not only by the lag in mental development, but also by various anomalies of internal organs and systems. To exclude the presence of a pregnant woman in the fetus of Down syndrome, biochemical screening is prescribed. It includes double and triple tests, which determine the increase or decrease of certain markers in the blood, characteristic for chromosomal disease. The results of tests are studied by a geneticist in order to establish a diagnosis.
The more dangerous the increase in glucose in the blood during pregnancy, read here.
The hyperechoic intestine in the fetus is accompanied by chromosomal anomalies up to 8% of all detection cases.
To check whether the fetus has become infected, the pregnant woman is tested for TORCH infection - a thorough examination for the presence of antibodies to one or another infection.
To study for the presence of a chromosomal or genetic pathology and the definition of intrauterine infection, amniotic fluid is collected in small amounts under the supervision of ultrasound - amniocentesis. It is considered one of the safest types of prenatal examination of the embryo. The waiting period of the results lasts about three weeks.
The most accurate information about the diseases can be given by the cordocentesis - this is getting the blood from the umbilical cord through the puncture. In the same way, medication is administered to the fetus, if necessary.
Hyperechogenous intestine in fetus: consequences
The consequences that arise from the increased echogenicity of the intestine of the fetus, are directly interrelated with its causes. Thus, a violation of uteroplacental blood circulation can cause delays in intrauterine development.
The low content of the water component in meconium, accompanied with the hyperechoic gut of the fetus, can cause intestinal obstruction. There is a perforation of the intestine, and the meconium penetrates into the abdominal cavity. This is how meconium peritonitis develops, which, in turn, causes calcifications and cysts to form on the walls of the intestine and the surface of the internal organs. A sterile abscess can also develop.
The consequence of disruption of the digestive tract can be such pathologies as Meckel's diverticulum and Hirschsprung's disease. Meckel's diverticulum is a pathological connection of the site of the small intestine with a bile sack, with complete or incomplete overgrowth of the bile duct. Located between the navel and ileum. Thus from a navel there can be allocation of intestinal contents.
Hirschsprung's disease is a congenital malformation, when there are no nerve plexuses in the area of the large intestine that provide peristalsis in it. Subsequently, the rectum is affected.
If intrauterine infection of the fetus occurs, depending on the time at which the infection occurred, any embryo organs, including the brain, can be damaged.
Symptoms of rubella in pregnant women you will learn here.
If there was no evidence of any of the pathologies, the diagnosis of "hyperechoic gut of the fetus" is considered erroneous. If, after careful study of the results of the research, any disease is found, the doctor will prescribe appropriate treatment and management of pregnancy.
At a high risk of having a Down syndrome, doctors recommend that the pregnancy be terminated, but the parents make the final decision.
Introduction of the mother immunomodulators and human immunoglobulin is prescribed in case of confirmation of intrauterine infection.
Since increasing the echogenicity of the intestine of the fetus is quite common, many forums for moms are discussing this topic. Most of the women who have found a hyperechoic gut in the fetus tell about the favorable termination of pregnancy and the birth of a healthy child.
Sources: http://webdiana.ru/jenskoe-zdorovye/beremenost/1060-giperehogennyy-kishechnik-u-ploda.html, http://womanadvice.ru/giperehogennyy-kishechnik-u-ploda, http://moeditya.com/pregnancy/vedenie/giperehogennyiy-kishechnik
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