Medizinische Universität Graz - Research portal
Selected Publication:
Haeusler, MC; Ryan, G; Robson, SC; Lipitz, S; Rodeck, CH.
The use of saline solution as a contrast medium in suspected diaphragmatic hernia and renal agenesis.
Am J Obstet Gynecol. 1993; 168(5):1486-1492
Doi: 10.1016/S0002-9378(11)90786-8
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- Leading authors Med Uni Graz
- Haeusler Martin
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- Abstract:
- OBJECTIVE: Our purpose was to determine the value of saline solution instillation as a contrast medium in suspected congenital diaphragmatic hernia and renal agenesis. STUDY DESIGN: Intrathoracic (n = 3) or intraperitoneal (n = 2) instillation was performed in five cases of suspected congenital diaphragmatic hernia. Amnioinfusion combined with intraperitoneal instillation was performed in five cases of suspected renal agenesis. RESULTS: Instillation clearly demonstrated the diaphragmatic defect in four of the five cases. In the cases with suspected renal agenesis, amnioinfusion led to recognition of a previously unsuspected sirenomelia, and intraperitoneal instillation demonstrated empty renal fossae in four cases. The final fetus with bilateral renal agenesis was thought antenatally to have a contralateral multicystic kidney. CONCLUSIONS: We suggest that intrathoracic or intraperitoneal saline solution instillation is a useful diagnostic procedure in carefully selected cases where confident ultrasonic diagnosis is often difficult and yet would significantly alter management. In cases of severe oligohydramnios amnioinfusion is a complementary procedure. In 80% of cases in this series there was significant improvement in visualization after the procedure.
- Find related publications in this database (using NLM MeSH Indexing)
- Amnion -
- Contrast Media - administration and dosage
- Female -
- Hernia, Diaphragmatic - congenital Hernia, Diaphragmatic - ultrasonography
- Humans -
- Instillation, Drug -
- Kidney - abnormalities Kidney - ultrasonography
- Peritoneum -
- Pregnancy -
- Sodium Chloride - administration and dosage Sodium Chloride - diagnostic use
- Thorax -
- Ultrasonography, Prenatal -
- Find related publications in this database (Keywords)
- Fetal Diseases
- Congenital Diaphragmatic Hernia
- Parenteral Intrathoracic Infusions
- Prenatal Diagnosis Methods
- Ultrasonography