Transplacental passage of non-ionic contrast agents resulting in fetal bowel opacification: a mimic of pneumoperitoneum in the newborn

Pediatr Radiol. 2007 Apr;37(4):396-8. doi: 10.1007/s00247-007-0422-4. Epub 2007 Feb 24.

Abstract

Although animal studies suggest that non-ionic radiological contrast agents do not cross the placenta, case reports have documented transplacental passage of the non-ionic monomers iohexol and iopromide in humans. We report a case of presumed transplacental passage of the non-ionic monomer ioversol resulting in fetal bowel opacification and mimicking pneumoperitoneum.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Contrast Media / adverse effects*
  • Diagnosis, Differential
  • Dilatation, Pathologic / chemically induced
  • Female
  • Humans
  • Infant, Newborn
  • Intestinal Diseases / chemically induced*
  • Intestinal Diseases / diagnostic imaging
  • Male
  • Maternal-Fetal Exchange*
  • Pneumoperitoneum / diagnosis*
  • Pregnancy
  • Prenatal Exposure Delayed Effects / chemically induced*
  • Prenatal Exposure Delayed Effects / diagnostic imaging
  • Pulmonary Embolism / diagnostic imaging
  • Radiography
  • Rectum / diagnostic imaging
  • Triiodobenzoic Acids / adverse effects*
  • Vomiting / chemically induced

Substances

  • Contrast Media
  • Triiodobenzoic Acids
  • ioversol