Antenatally diagnosed right-sided stomach (dextrogastria): A XXXX .

@entity1 @entity391 @entity4032 @entity4558 @entity1518 @entity854 @entity354 @entity299 @entity717 @entity204
AIM: Antenatal detection of right-sided stomach (dextrogastria) is rare, and its significance in regards to @entity717 is unclear. We aimed to review all cases of antenatally-diagnosed dextrogastria in our regional fetal medicine unit over 10years. METHODS: A retrospective case-note review of @entity1 identified from a prospectively-maintained database was performed. RESULTS: Twenty cases of antenatally-diagnosed dextrogastria were identified from 2004 to 2014. There were 8 terminations and 1 @entity204 . One @entity1 has no post-natal information obtainable. Ten @entity1 were live-born, and 2 died secondary to @entity299 in the neonatal period. All had significant @entity299 on postnatal assessment, including the 3 neonates in whom dextrogastria was the only antenatal finding. Two neonates developed @entity391 and underwent Ladd's procedure. Operative findings were dextrogastria/ @entity1518 in both. A third @entity1 had @entity354 , and contrast demonstrated stable duodenal/midgut position. This @entity1 has not developed symptoms attributable to @entity1518 and not undergone surgery. All 3 of these @entity1 had @entity4032 or @entity4032 and were managed with antibiotic prophylaxis/immunisation. Five @entity1 in the series were not investigated for @entity1518 and have not come to surgical attention (one is known to be asplenic). CONCLUSION: Antenatally-detected dextrogastria, even if apparently isolated, was always associated with postnatal significant @entity854 , @entity4558 or situs inversus. This may be important for antenatal counselling. We currently recommend postnatal echocardiography and splenic assessment, but reserve GI investigation/intervention for symptomatic @entity1518 owing to potential significant cardiac comorbidity.
