Postnatal Complication, Mesenteric Pregnancy
Conditions
Keywords
Pregnant women, 2nd trimester ultrasound examination, Mesenteric vessels positionning, Pediatric follow up +/- treatment, Postnatal confirmation, Evolution and complication
Brief summary
Digestive malrotation is an anatomical anomaly of the positionning of the mesenteric vessels and the digestive tract that can lead in some form to a dangerous neonatal complication: intestinal volvulus. This requires emergency surgery with a risk of digestive resection. Visualizing during pregnancy the normal or abnormal anatomical positionning of the mesenteric vessels could make it possible to diagnose this malrotation and prevent the occurrence of this complication. The aim of the study is to study the neonatal outcome of fetus confirm to have an abnormal positionning of mesenteric vessels
Interventions
Ultrasound exam
Fetal MRI
Postnatal abdominal ultrasound
Pediatric Follow up
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant women attending for 2nd trimester ultrasound * Abnormal positionning of mesenteric vessels * No other foetal malformation * Singleton pregnancy * Age \>18 years
Exclusion criteria
* Chromosomal abnormality * polymalformative syndrom * Foetal malformation changing intestine disposition (gastroschisis, diaphragmatic hernia, heterotaxis…)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of intestinal malrotation among foetuses | day 1 | Percentage of intestinal malrotation among foetuses with abnormal positionning of mesenteric vessels |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of correlation between prenatal | day 1 | Rate of correlation between prenatal |
| Rate of postnatal ultrasound | day 1 | Rate of postnatal ultrasound |
| type of intestinal malrotation | day 1 | type of intestinal malrotation |
Countries
France