Abstract
Fetal megasistis ultrasonografide nadiren saptanmakta olup megamesane olarak bilinir. Fetal megasistisin etyolojisi tam olarak bilinmemektedir. Genelde ilk trimesterde geçici bir bulgu olmakla beraber ilerleyen haftalarda saptanması ya da devam etmesi artmış kromozomal anomali ve eşlik eden anomalilerle beraber izlenmektedir. Bu nedenle fetal megasistis saptanan olgularda ailelere detaylı değerlendirme yapılmasına rağmen tanınamayan ve eşlik eden diğer anomaliler hakkında bilgilendirilmelidir. Olgumuz, yirmi bir yaşında, Gravida 3 Parite 2 (açık olmalı), 23 haftalık fetal megasistisli bir gebe perinatoloji kliniğine başvurdu. Ultrasonografide mesane 79x64 mm çapında, bilateral polikistik böbrek ve anhidroamnios görünümde bir canlı fetüs izlendi. Karyotip analizi ve gebeliğin terminasyonu önerildi. Karyotip analizini ailenin onaylamaması üzerine gebelik termine edildi. Biz bu yazıda ikinci trimesterde ultrasonografide saptanmış fetal megasistis vakasını sunmayı amaçladık.
References
- Sebire NJ, Von Kaisenberg C, Rubio C, Snijders RJ, Nicolaides KH. Fetal megacystis at 10-14 weeks of gestation. Ultrasound Obstet Gynecol 1996;8(6):387-90
- Kagan KO, Staboulidou I, Syngelaki A, Cruz J, Nicolaides KH. The 11-13-week scan: diagnosis and outcome of holoprosencephaly, exomphalos and megacystis. Ultrasound Obstet Gynecol 2010;36(1):10-4
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- Matsui F, Shimada K, Matsumoto F, Obara T. Prenatal resolution of megacystis possibly caused by spontaneous rupture of posterior urethral valves. J Pediatr Surg 2008;43(12):2285-7
- Nijagal A, Sydorak RM, Feldstein VA, Hirose S, Albanese CT. Spontaneous resolution of prenatal megalourethra. J Pediatr Surg 2004;39(9):1421-3
- Favre R, Kohler M, Gasser B, Muller F, Nisand I. Early fetal megacystis between 11 and 15 weeks of gestation. Ultrasound Obstet Gynecol 1999;14(6):402-6
- Farrell SA. Intrauterine death in megacystis-microcolon-intestinal hypoperistalsis syndrome. J Med Genet 1988;25(5):350-1
- Liao AW, Sebire NJ, Geerts L, Cicero S, Nicolaides KH. Megacystis at 10-14 weeks of gestation: chromosomal defects and outcome according to bladder length. Ultrasound Obstet Gynecol 2003;21(4):338-41
Abstract
References
- Sebire NJ, Von Kaisenberg C, Rubio C, Snijders RJ, Nicolaides KH. Fetal megacystis at 10-14 weeks of gestation. Ultrasound Obstet Gynecol 1996;8(6):387-90
- Kagan KO, Staboulidou I, Syngelaki A, Cruz J, Nicolaides KH. The 11-13-week scan: diagnosis and outcome of holoprosencephaly, exomphalos and megacystis. Ultrasound Obstet Gynecol 2010;36(1):10-4
- Robyr R, Benachi A, Daikha-Dahmane F, Martinovich J, Dumez Y, Ville Y. Correlation between ultrasound and anatomical findings in fetuses with lower urinary tract obstruction in the first half of pregnancy. Ultrasound Obstet Gynecol 2005;25(5):478-82
- Matsui F, Shimada K, Matsumoto F, Obara T. Prenatal resolution of megacystis possibly caused by spontaneous rupture of posterior urethral valves. J Pediatr Surg 2008;43(12):2285-7
- Nijagal A, Sydorak RM, Feldstein VA, Hirose S, Albanese CT. Spontaneous resolution of prenatal megalourethra. J Pediatr Surg 2004;39(9):1421-3
- Favre R, Kohler M, Gasser B, Muller F, Nisand I. Early fetal megacystis between 11 and 15 weeks of gestation. Ultrasound Obstet Gynecol 1999;14(6):402-6
- Farrell SA. Intrauterine death in megacystis-microcolon-intestinal hypoperistalsis syndrome. J Med Genet 1988;25(5):350-1
- Liao AW, Sebire NJ, Geerts L, Cicero S, Nicolaides KH. Megacystis at 10-14 weeks of gestation: chromosomal defects and outcome according to bladder length. Ultrasound Obstet Gynecol 2003;21(4):338-41
Details
| Journal Section | Makaleler |
|---|---|
| Authors | |
| Publication Date | November 8, 2016 |
| Submission Date | November 18, 2014 |
| Published in Issue | Year 2016 Volume: 11 Issue: 1 |
