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LETTER TO THE EDITOR  
Year : 2015  |  Volume : 25  |  Issue : 3  |  Page : 321
Comment on: Fetal gastric pseudomass at 30 weeks of gestation and its regression after 17 days of birth


Department of Radiology, School of Medicine, Gazi University, Ankara, Turkey

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Date of Web Publication24-Jul-2015
 

How to cite this article:
Yildiz S, Özkan F, Menzilcioglu MS, Duymus M. Comment on: Fetal gastric pseudomass at 30 weeks of gestation and its regression after 17 days of birth. Indian J Radiol Imaging 2015;25:321

How to cite this URL:
Yildiz S, Özkan F, Menzilcioglu MS, Duymus M. Comment on: Fetal gastric pseudomass at 30 weeks of gestation and its regression after 17 days of birth. Indian J Radiol Imaging [serial online] 2015 [cited 2019 Dec 13];25:321. Available from: http://www.ijri.org/text.asp?2015/25/3/321/161469
Sir,

We read with great interest the recent case report of Karippaliyil et al. revealing fetal gastric pseudomass detected at 30 weeks of gestation and its regression after 17 days of birth. [1] In our opinion, some points in the report are not sufficiently clear.

In the abstract section, the authors have stated that findings of computed tomography with oral contrast were non-specific and similar to the findings of abdominal radiographs which did not contribute to a definite diagnosis. However, a filling defect of 10-20 HU within the stomach which consisted of the pseudomass was shown in Figure 5, revealing the computed tomography scan of the patient.

The authors revealed that the fetal growth and biophysical parameters were normal at 30 weeks of gestation except for the presence of gastric pseudomass. However, it was not clear whether they evaluated the direct and indirect signs of intra-amniotic bleeding or not. These direct and indirect signs are particles in the amniotic fluid and the placenta, subchorionic hemorrhage, and placental abruption. It has been claimed that swallowing of intra-amniotic bleeding materials may cause the gastric pseudomass. [2],[3]

The authors have stated that the intragastric echogenic mass disappeared after 17 days of birth. Nevertheless, there was no figure revealing the regression of the mass, and they did not indicate which imaging modality they preferred.

We hope that the above-mentioned comments will add to the value of the article by Karippaliyil et al.

 
   References Top

1.
Karippaliyil B, Kannan M, Karippaliyil M. Fetal gastric pseudomass at 30 weeks of gestation and its regression after 17 days of birth. Indian J Radiol Imaging 2014;24:160-2.  Back to cited text no. 1
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2.
Walker JM, Ferguson DD. The sonographic appearance of blood in the fetal stomach and its association with placental abruption. J Ultrasound Med 1988;7:155-61.  Back to cited text no. 2
    
3.
Daly-Jones E, Sepulveda W, Hollingsworth J, Fisk NM. Fetal intraluminal gastric masses after second trimester amniocentesis. J Ultrasound Med 1994;13:963-6.  Back to cited text no. 3
    

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Correspondence Address:
Sema Yildiz
Department of Radiology, School of Medicine, Gazi University, Ankara
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.161469

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