Can I read The Esophageal ‘Pouch Sign’: a Benign Transient Finding on EtoBox?

The Esophageal ‘Pouch Sign’: a Benign Transient Finding by Ido Solt; Siegfried Rotmensch; Moshe Bronshtein is a Medicine article available to read on EtoBox.

What is The Esophageal ‘Pouch Sign’: a Benign Transient Finding about?

## Abstract ## Objective Sonographic finding of an esophageal pouch is considered pathognomonic for fetal esophageal atresia (EA). We investigated the clinical significance of this finding. ## Methods Longitudinal sonographic follow‐up in pregnancy and neonatal diagnostic work‐up was performed in six fetuses with an esophageal neck pouch referred for polyhydramnios and a small or absent stomach. Fetal swallowing and cyclic distension of the pouch were observed for at least 30 min, and follow‐up examinations were conducted at 2 to 3 weeks intervals. ## Results First visualization of the pouch occurred between 18 and 29 weeks of gestation. All pouches were located above the fetal clavicle. No additional anomalies were detected on detailed anatomic survey. Five fetuses had normal karyotypes. At 21 to 33 weeks of gestation, polyhydramnios had resolved, and the stomach was found to be normal in size and shape in all cases. The neonatal work‐up ruled out EA in all cases. ## Conclusion The fetal esophageal pouch sign occurs in structurally normal fetuses and should not be considered pathognomonic for EA or serve as the grounds for pregnancy termination. Copyright © 2010 John Wiley & Sons,

Who reads The Esophageal ‘Pouch Sign’: a Benign Transient Finding?

Author

Ido Solt; Siegfried Rotmensch; Moshe Bronshtein

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square (ISSN 0197-3851)

Published

2010

Language

EN

Field

Medicine (Health Sciences)