PRENATAL DETECTION OF ANTERIOR ABDOMINAL-WALL DEFECTS WITH US

The size and position of an anterior abdominal wall defect, its conten ts, and its association with other anomalies are features that can be diagnosed in utero with ultrasound and that allow a differential diagn osis to be made, The correct prenatal diagnosis is extremely important for patient management, The key feature for sonographically distingui shing these conditions is the position of the defect in relation to th e umbilical cord insertion, Omphaloceles and pentalogy of Cantrell usu ally involve a midline defect at the umbilical cord insertion. Gastros chisis most frequently consists of a small, right-sided paraumbilical defect, Eccentric, large lateral defects are typically present in limb -body wall complex or amniotic band syndrome, Bladder and cloacal exst rophy involve the infraumbilical region, In addition, the size of the defect, the organs eviscerated, the presence of membranes or bands, an d any associated abnormalities help determine the correct diagnosis, I ncreased knowledge of these uncommon fetal conditions should result in better detection, more accurate diagnosis, and improved management of anterior abdominal wall defects.