Evidence map›Paper›PMID 39638634›Full record

ArticlePrenatal diagnosis2025

Prenatal Ultrasound in the Diagnosis of Anorectal Malformations: Correlating Prenatal Signs With Postnatal Outcomes.

D Huijgen, H P Versteegh, R M H Wijnen, S Galjaard, N C J Peters, C E J Sloots

Abstract read
In one paragraph

Article in Prenatal diagnosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

D HuijgenDepartment of Pediatric Surgery, Erasmus MC Sophia, Rotterdam, The Netherlands.ORCID 0009-0007-7195-568X
H P VersteeghDepartment of Pediatric Surgery, Erasmus MC Sophia, Rotterdam, The Netherlands.
R M H WijnenDepartment of Pediatric Surgery, Erasmus MC Sophia, Rotterdam, The Netherlands.
S GaljaardDepartment of Obstetrics and Gynecology, Subdivision of Obstetrics and Fetal Medicine, Erasmus MC Sophia, Rotterdam, The Netherlands.
N C J PetersDepartment of Obstetrics and Gynecology, Subdivision of Obstetrics and Fetal Medicine, Erasmus MC Sophia, Rotterdam, The Netherlands.ORCID 0000-0003-2427-7269
C E J SlootsDepartment of Pediatric Surgery, Erasmus MC Sophia, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study explored prenatal ultrasound markers in patients with anorectal malformations (ARMs).

methodsAll patients treated for ARM in our institution from January 2014 to December 2021 with an available expert fetal anomaly scan (eFAS) were reviewed. The eFAS images were assessed to evaluate the fetal anus, specifically by identifying hyperechoic anal mucosa surrounded by hypoechoic anal sphincter, referred to as "target sign" (TS). Furthermore, indirect signs of ARM were assessed and correlated with postnatal clinical symptoms.

resultsOf the 115 patients treated for ARM, 32 mothers underwent eFAS. TS was assessed in 22 fetuses, of which 17 (77.3%) had an absent or abnormal TS. Of the patients with a postnatally confirmed complex type of ARM, 90% had an absent or abnormal TS. One or more indirect signs of ARM were found in 16 out of 32 fetuses (50.0%), comprising echogenic bowel (n = 3), echogenic meconium (n = 2), dilated intestines (n = 7), echo-lucent cavity behind the urinary bladder (n = 4), abnormal external genitalia (n = 6), and polyhydramnios (n = 5).

conclusionThis retrospective cohort study provides valuable insights into the potential role of TS assessment and indirect signs in the prenatal diagnosis of ARM. Future studies should further validate our findings and elicit whether TS assessment should be incorporated into prenatal screening protocols.

Indexed as

Anorectal MalformationsUltrasonography, PrenatalAdultAnal CanalFemaleHumansInfant, NewbornPregnancyRetrospective Studies

Identifiers

PMID39638634
PMCPMC11717739

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