H Heinrich, E Pajkrt, M M Tabbers, E van Leeuwen
Prenatal recognition of congenital diarrhea and subsequent diagnosis can facilitate neonatal monitoring and prompt initiation of lifesaving postnatal treatment. We describe two cases with a congenital diarrheal disorder (CDD), highlighting the prenatal course and the diagnostic process. In cases of fetal dilated bowel loops, particularly with a characteristic honeycomb appearance, prenatal genetic testing for CDDs should be considered. After birth, distinguishing diarrhea from urine may be challenging in neonates with suspected congenital diarrhea. Therefore, urinary catheterization or a urine collection bag is recommended to ensure accurate assessment.