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CURRENT MEDICAL IMAGING


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PEER REVIEW REQUEST - ACCEPTANCE CONFIRMATION


BMS-CMIM-2023-578

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Article Title:
Analysis of ileal atresia from prenatal ultrasound to postoperative
follow-up：Two cases report
Abstract:
Congenital ileal atresia is a rare neonatal disease, the most common type of
intestinal malformation in newborns, and one of the most common causes of
congenital intestinal obstruction. It can cause various digestive system
symptoms, including abdominal distension, vomiting, abnormal bowel movements,
etc. In severe cases, it can be life-threatening. Prenatal ultrasound
examination can assist clinical diagnosis of congenital ileal atresia, and those
with clear prenatal diagnosis should undergo surgical treatment after birth.Case
Presentation:We reported two cases of congenital ileal atresia, both of which
showed fetal intestinal dilation (>7mm) and excessive amniotic fluid on prenatal
ultrasound. Both newborns underwent surgical treatment after delivery and were
confirmed to have congenital ileal atresia during surgery. Due to the different
prenatal ultrasound manifestations of the two patients, they were divided into
two different subtypes based on intraoperative manifestations. We observed
significant differences in the prognosis of the two patients after surgery.
Conclusion:Accurately locating and classifying ileal atresia using prenatal
ultrasound is challenging; however, it plays an effective role in disease
progression, gestational assessment, and prognosis. Accurately identifying
intestinal diseases and/or the location of lesion sites through direct and
indirect ultrasound findings in the fetal abdominal cavity is an important
research direction for prenatal ultrasound.

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