Diagnostic Value of 3-Dimensional Ultrasound in the Prenatal Diagnosis of Intestinal Malrotation due to Ladd's Bands

Wael El Guindi1*, Gabriel Carles1, Michel Herlicoviez2, Veronique Lambert1, Guillaume Benoist2 and Michel Dreyfus2

1Department of Obstetrics and Gynecology, Franck Joly Hospital, French Guiana
2Department of Obstetrics and Gynecology, Caen University Hospital, France

^*Correspondance to: Wael El Guindi 

 PDF  Full Text DOI: 10.25107/2474-1647.2747

Abstract

Objective: The present study aimed to evaluate the role of Three-Dimensional (3D) ultrasound in the prenatal diagnosis of Intestinal Rotational Abnormalities (IRA). Methods: We present four cases in which intestinal malrotation was suspected antenatally with one case in which Ladd's bands were strongly suspected and confirmed by a fetopathological examination. Stored volumes were prospectively and subsequently analyzed offline. Results: With 3D ultrasound, we were able to evoke the diagnosis of intestinal malrotation due to Ladd's bands by a 3D anatomical reconstruction that was confirmed by a fetopathological examination. Anatomical image reconstruction enabled us to see the characteristic “corkscrew” appearance, clearly showed the abnormal position of the duodenojejunal junction at the right side and gave us an anatomical 3D image that correlated excellently with fetopathological examination. Conclusion: 3D ultrasound offers a high-resolution volume rendering image that provides excellent delineation of the gastrointestinal tract and add significantly to detection and understanding of the aberrant anatomy of intestinal malrotation. Here, we propose a novel “multiple bubble sign” may have a potential diagnostic utility in the diagnosis of malrotation caused by Ladd's bands. Further Studies should proceed to further clarify our findings and shed new light on the role of 3D ultrasound in the antenatal diagnosis of IRA.

Keywords

Malrotation; Midgut; Volvulus; Neonate; 3DUS; Ladd&39;s bands; Corkscrew sign; Duodenal obstruction; Whirlpool sign; Heterotaxy syndrome

Cite the article

El Guindi W, Carles G, Herlicoviez M, Lambert V, Benoist G, Dreyfus M. Diagnostic Value of 3-Dimensional Ultrasound in the Prenatal Diagnosis of Intestinal Malrotation due to Ladd's Bands. Clin Surg. 2020; 5: 2747..