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Pediatr Radiol. 2018 Apr;48(4):499-512. doi: 10.1007/s00247-017-3914-x. Epub 2018 Mar 17.

Fetal anterior abdominal wall defects: prenatal imaging by magnetic resonance imaging.

Author information

1
Radiology Department, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 10104, USA. victoria@email.chop.edu.
2
Center for Fetal Diagnosis and Treatment, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. victoria@email.chop.edu.
3
Department of Pediatric Radiology, Bristol Royal Hospital for Children, Bristol, UK.
4
Division of Pediatric Urology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
5
Center for Fetal Diagnosis and Treatment, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
6
Radiology Department, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 10104, USA.

Abstract

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.

KEYWORDS:

Abdominal wall defect; Bladder; Cloaca; Exstrophy; Fetus; Limb–body wall defect; Magnetic resonance imaging; Umbilical cord insertion

PMID:
29550866
DOI:
10.1007/s00247-017-3914-x
[Indexed for MEDLINE]

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