Patient :I'm 20 weeks pregnant with twins and level 2 scan showed "persistent dilated stomach for both fetuses"
Radiologist Doctor rechecked after some time and both the fetuses has compressed stomach within limit but at one point it was enlarged per gestation age. Does this always lead to bad outcome? I'm hoping to hear that this issue gets resolved on its own. Please help . This is a precious pregnancy through IVF and hoping all is good.
Thanks for the query.
Persistent dilated bowel is a soft marker for fetal aneuploiodies. That means it is one of the marker for chromosomal anomalies in the fetus. However finding them in isolation with no other markers significant of an anomaly on ultrasound is not of importance. Since the persistence had disappeared now there is nothing to worry. However the fetuses should be treated as for high risk and pregnancy to be well monitored. Serial ultrasounds for growth and any markers for aneuploiodies have to be done. Any suspicion, opt for amniocentesis or cordocentesis though may be a late option. Consult your gynecologist and discuss regarding the same. Other soft markers include nasal translucency, echo genie bowel, dilated bowel loops, ventriculomegaly, single umbilical artery, cystic hygrometer, etc. Presence of only one marker is not definitive of anything and do not warrant termination. However, serial monitoring is necessary with ultrasound and biochemical tests like quadruple marker test. All put together we can quantify the risk involved in present pregnancy with such a change in ultrasound.
Hope this helps
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