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Echogenic bowel on ultrasound may signal Cf. (Second-Trimester Finding).

OB GYN News

| February 01, 2002 | Walsh, Nancy | COPYRIGHT 2002 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

SARASOTA, FLA. -- A finding of echogenic bowel on second-trimester ultrasound typically is a transient artifact, but in some instances signals the possibility that the fetus is affected by cystic fibrosis, Dr. Felice Baron said at a symposium on high-risk pregnancy sponsored by Symposia Medicus.

This ultrasound finding, in which the bowel exhibits similar or greater echogenicity than the surrounding fetal bone, is seen in 0.2%-2% of fetuses. While in most cases the baby will be normal, there is a 3.6% risk of cystic fibrosis (CF) and the parents should be offered carrier testing, said Dr. Baron, associate director of maternal-fetal medicine at the Perinatal Center of Sarasota (Fla.) Memorial Hospital.

Current carrier testing can detect up to 90% of the mutations associated with CF.

Whites have a high prevalence--1 in 25--of the CF mutations. ...

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