Case report
Abstract
Introduction: Heterotopic pregnancy is a rare, but potentially life-threatening pathology. The diagnosis of heterotopic pregnancy is still one of the biggest challenges in modern gynecology. The incidence of those pregnancies in natural conception is about 1:30000. Case presentation: We present an unusual case of a heterotopic pregnancy which was misdiagnosed in the first trimester as a dichorionic twin pregnancy. At 13 weeks of gestation, the patient presented with an acute abdomen
Michał Ciebiera,
Aneta Słabuszewska-Jóźwiak,
Kornelia Zaręba,
Grzegorz Jakiel
Journal of Ultrasonography , ISSUE 75, 355–358
Review Article
Diagnosis and treatment of ectopic cesarean scar pregnancy has become a challenge for contemporary obstetrics. With an increase in the number of pregnancies concluded with a cesarean section and with the development of transvaginal ultrasonography, the frequency of cesarean scar pregnancy diagnoses has increased as well. The aim of the study is to evaluate various diagnostic methods (ultrasonography in particular) and analyze effective treatment methods for cesarean scar pregnancy. An
Piotr Pędraszewski,
Edyta Wlaźlak,
Wojciech Panek,
Grzegorz Surkont
Journal of Ultrasonography , ISSUE 72, 56–62
Review
Medical management of ectopic pregnancy with methotrexate, an antimetabolite of folic acid, is an important alternative to surgical treatment, as it ensures a similar outcome whilst being far less invasive. Ultrasound evaluation does not only facilitate an accurate diagnosis, but also helps to select patients most likely to benefit from methotrexate treatment, as opposed to those with a high likelihood of failure of medical management, who are thus eligible for primary surgical treatment
Piotr Czuczwar
Journal of Ultrasonography , ISSUE 73, 158–161
research-article
Introduction
During pregnancy, gallbladder disease is often due to gallstones and biliary sludge(1). Although gallbladder disease also occurs in men, a higher prevalence has been reported in women(2,3). Hossain et al.(4) reported that gall bladder diseases are four times more common in women than men. Likewise, Eze et al. reported a male-to-female ratio of 2.8:1 in the prevalence of these diseases(2). This gender predilection constitutes a risk during pregnancy, and it has been found that gall
Bukunmi Michael Idowu,
Stephen Olaoluwa Onigbinde,
Isaiah Uzezi Ebie,
Michael Temidayo Adeyemi
Journal of Ultrasonography , ISSUE 79, 269–275
Research Article
Aim of the studyTo evaluate the value of uterine artery Doppler indices and waveform pattern in predicting fetuses at risk for intrauterine growth restriction in hypertensive disorders of pregnancy.Materials and methodsThis was a prospective cross-sectional study including 80 pregnant subjects with hypertensive disorders of pregnancy and two control groups. Uterine artery Doppler sonography was performed in all study participants. Uterine artery Doppler indices across the groups were compared
Ibukun A. Abidoye,
Oluwagbemiga O. Ayoola,
Bukunmi M. Idowu,
Adeniyi S. Aderibigbe,
Olabisi M. Loto
Journal of Ultrasonography , ISSUE 71, 253–258
Case report
Twin molar pregnancy with a hydatidiform mole and a coexisting live fetus is a rare form of gestational trophoblastic disease associated with an increased risk of obstetric complications and poor perinatal outcome. Prenatal diagnosis is essential for couple counseling and follow-up in Tertiary Reference Centers. Magnetic resonance imaging is important for the diagnostic differentiation of placental mesenchymal dysplasia and exclusion of myometrial invasion. Here we present a case of twin molar
Antonio Braga,
Bruna Obeica,
Heron Werner,
Sue Yazaki Sun,
Joffre Amim Júnior,
Jorge Rezende Filho,
Edward Araujo Júnior
Journal of Ultrasonography , ISSUE 71, 299–305
Review Article
Ultrasonography, with its detailed imaging of the fetus, is very widely used in obstetrics. The primary aim of ultrasound scanning in pregnancy is to limit the risk of obstetric complications by early detection of abnormalities, such as intrauterine growth restriction and macrosomia. Currently, morphometric formulae are used for estimating fetal weight. They utilize basic biometric parameters. However, Hadlock formula, used for fetal weight estimation, has an error rate of 20%. For this reason
Aleksandra Warska,
Anna Maliszewska,
Anna Wnuk,
Beata Szyszka,
Włodzimierz Sawicki,
Krzysztof Cendrowski
Journal of Ultrasonography , ISSUE 72, 50–55
research-article
Introduction
Despite a downward trend in adolescent pregnancy since the 1990’s, pregnancy is still a relatively common occurrence among American teenagers. Approximately one in ten sexually active girls experience a pregnancy sometime during their teenage years – about 5% of adolescent females nationally (Guttmacher Institute, 2016). This prevalence makes the United States the leader in adolescent pregnancies amongst industrialized nations (Kearney & Levine, 2012). High incidence of teenage
Elizabeth Humberstone
Journal of Social Structure , ISSUE 1, 1–34
original-paper
recommend saline infusion sonography or hysteroscopy as the initial infertility investigation. Their stance on the subject is derived from the fact that removal has not been proven worthwhile(7).
Studies showing improved clinical pregnancy rates in women with unexplained infertility after removal of unsuspected polyps are being reported. Cochrane database review concluded that hysteroscopic removal of submucous fibroids in women suffering from otherwise unexplained infertility may be beneficial(8
Rubina Izhar,
Samia Husain,
Suhaima Tahir,
Sonia Husain
Journal of Ultrasonography , ISSUE 77, 113–119
Short Report
Sleep-Disordered Breathing (SDB) has been associated with possible negative outcomes, such as preeclampsia and foetal growth restriction. SDB screening tools have been developed for use within general populations. These included the use of self-reports and objective measurements. Seventeen pregnant women within their 34th to 37th week of pregnancy were recruited. Participants undertook an overnight study within their home and SDB symptoms were monitored using the Watch-PAT 200 and an
Jane Warland,
Jacinta Carpentieri,
Jillian Dorrian
Eat, Sleep, Work , ISSUE 1, 57–64
Review
Renal pelvicalyceal dilatation is caused by urine retention in the upper urinary tract. It is referred to as pyelectasis in medical literature. This term does not indicate the cause that leads to the dilatation of and urine retention in the renal pelvicalyceal system. Mild pelvicalyceal dilatation during pregnancy is usually considered to be physiological in nature – it can occur in up to 90% of pregnant women. Retention is more common in the right kidney, in primigravidae, in the second half
Piotr Szkodziak
Journal of Ultrasonography , ISSUE 73, 152–157
Research paper
Steroid hormones are important mediators of prenatal maternal effects and play an important role in fetal programming. The aim of our study was to investigate how testosterone enhancement during pregnancy influences neurobehavioral aspects of social coping of rat offspring in adulthood. Pregnant rat dams were exposed to depot form of testosterone during the last third of pregnancy (i.e., beginning on the 14th day of pregnancy). Their adult offspring were later tested in a social interaction
Zuzana Dzirbíková,
Alžbeta Talarovičová,
Peter Štefánik,
Lucia Olexová,
Lucia Kršková
Acta Neurobiologiae Experimentalis , ISSUE 3, 264–270
case-report
keyhole sign (Fig. 2), dorsally curved penis with largely dilated penile urethra (18 × 5 mm) (Fig. 3). The amniotic fluid volume was normal. No other abnormalities were found. Based on such abnormal sonographic findings, including hydronephrosis, hydroureters, megacystis and dilated penile urethra, we came to a diagnosis of scaphoid congenital megalourethra. After parental counseling, termination of pregnancy proved the prenatal findings (Fig. 4).
Fig. 1.
A. Dilated right renal pelvis B. dilated
Do Duy Anh,
Ha To Nguyen,
Simon Meagher,
Edward Araujo Júnior
Journal of Ultrasonography , ISSUE 79, 302–304
research-article
frequently cited cause of decreased clinical pregnancy rates in in vitro fertilization (IVF) cycles(6). It has been suggested that trial transfers under ultrasound guidance improve conception rates. Saline infusion sonography involves the use of soft tip Foley’s catheter for the introduction of saline used for cavity distension and checking for free spill(7). Cervical dilation with a Hegar’s dilator may be needed prior to introduction of this Foley’s catheter in cases of stenosis. Since a stenosis that
Journal of Ultrasonography , ISSUE 81, e116–e121
Report
Despite the existence of long-standing, well-organized programs for Rh immune globulin (RhIG) prophylaxis, immune anti-D continues to be detected in the D– perinatal population. Between 2006 and 2008, 91 prenatal patients, found to have a previously unidentified anti-D, were followed up with a survey to their treating physician and with additional serologic testing where possible. The physician survey requested pregnancy and RhIG history information, including recent or distant potential
Judith L. Hannon,
Gwen Clarke
Immunohematology , ISSUE 3, 108–111
Case report
Antibodies against Lutheran blood group antigens have been observed during first-time pregnancy. Samples from a woman of African descent were tested in our immunohematology laboratory on several occasions since 2001. Her samples were phenotyped as Lu(a+b−), and anti-Lub was suspected but not identified. She was asked to make autologous donations in preparation for her delivery, which she did. In 2010, two antibodies were identified: anti-Lea and -Lub. Six years later, a third
Carole Éthier,
Cynthia Parent,
Anne-Sophie Lemay,
Nadia Baillargeon,
Geneviève Laflamme,
Josée Lavoie,
Josée Perreault,
Maryse St-Louis
Immunohematology , ISSUE 3, 110–113
Original Paper
Cytomegaloviruses are common worldwide, with variable frequency of infections. The infection in pregnancy may lead to pregnancy loss or serious sequelae for the child. To understand the risk posed by CMV in Poland we conducted cross-sectional study on women aged 15–49 basing on existing serum bank. Age dependent CMV incidence, the rates of congenital infection and sequelae were modelled from sero-prevalence, literature and demographic data. The overall anti-CMV IgG prevalence was 81.9
Joanna Siennicka,
Milena Dunal-Szczepaniak,
Agnieszka Trzcińska,
Paulina Godzik,
Magdalena Rosińska
Polish Journal of Microbiology , ISSUE 4, 425–432
Article
therapy has been noted to date. We report such a case recently encountered at our Fetal Center.
Case Report
The patient was a 31-year-old woman (gravida/para/abortus [GPA] = G2P1000) who was referred to our Fetal Center from a neighboring state for evaluation of Vel alloimmunization. Her past history was significant, with the finding of a positive antibody detection test and identification of anti-Vel during her previous pregnancy. Based on literature reports of only mild-to-moderate HDFN in
K.J. Moise,
Y. Morales,
M.F. Bertholf,
S.N. Rossmann,
Y. Bai
Immunohematology , ISSUE 4, 152–154
Research Article
case was further evaluated by MRI.ResultsThree cases of conjoined twins (cephalopagus, thoracopagus and omphalopagus) were accurately diagnosed on antenatal ultrasound. After detailed counseling of the parents and obtaining written consent, all the three cases of pregnancy were terminated. Delivery of the viable conjoined twins was achieved without any complications to the mothers, and all the three conjoined twins died after a few minutes.ConclusionUltrasound enables an early and accurate
Rishi Philip Mathew,
Swati Francis,
Ram Shenoy Basti,
Hadihally B. Suresh,
Annie Rajarathnam,
Prema D. Cunha,
Sujaya V. Rao
Journal of Ultrasonography , ISSUE 71, 259–266
Research Article
continued to be negatively associated with nonverbal reasoning skills after adjustment for maternal education, maternal smoking during pregnancy, and maternal reports of exposure to SHS during pregnancy in separate models.Children who grow up in an environment with adults who smoke are vulnerable to several social and environmental risk factors. The findings of this study suggest that exposure to SHS during early childhood should also be considered as a potential variable in the risk trajectory and as a
Duneesha De Alwis,
Mini Tandon,
Rebecca Tillman,
Joan Luby
Scandinavian Journal of Child and Adolescent Psychiatry and Psychology , ISSUE 2, 115–125
Review
Placental chorioangioma is the most common subtype of non-trophoblastic placental tumors. Other subtypes are very rare and usually associated with an uneventful course of pregnancy. Most chorioangiomas are small and of no clinical significance. Giant chorioangiomas may be associated with serious fetal and maternal complications. So far, no established ultrasound guidelines are available for the management of placental non-trophoblastic tumors. This may be attributed to the rarity of the disease
Nabil Abdalla,
Robert Piórkowski,
Paweł Stanirowski,
Monika Pazura,
Krzysztof Cendrowski,
Włodzimierz Sawicki
Journal of Ultrasonography , ISSUE 69, 116–122
Original Paper
cycle per week. The diagnosis of periintraventricular haemorrhage was based on transfontanelle ultrasonography, using the Papile’s classification. The following risk factors for peri-intraventricular haemorrhage were assessed: birth weight, gestational age at delivery, type of delivery, newborn’s sex, surfactant administration, premature rupture of membranes and previous history of infection during the current pregnancy. The student’s t-test and chi-square test were used for
Bianca A. Almeida,
Livia T. Rios,
Edward Araujo Júnior,
Luciano M. Nardozza,
Antonio F. Moron,
Marília G. Martins
Journal of Ultrasonography , ISSUE 69, 91–95
research-article
Introduction
Preeclampsia is one of the leading causes of maternal morbidity throughout the world(1). It is a pregnancy disorder characterized by high blood pressure and often a significant amount of protein in urine(2). The incidence of preeclampsia is from 5–10%(3,4), and its prevalence is 2–8%(5). The possible causes of preeclampsia include: an exaggerated inflammatory response by endothelial cells, which intrinsically increases the local blood supply to the affected area,(6) and the
Syeda Rabi Madina,
Raham Bacha,
Syed Amir Gilani,
Wafa Fatima,
Wahida Awais,
Hamnah Fatima,
Iqra Manzoor
Journal of Ultrasonography , ISSUE 81, e95–e99
Case report
Marcia Marchese
Immunohematology , ISSUE 3, 114–118
Original Paper
;, Immucor, Warren, NJ) was performed on all patient specimens referred for molecular testing over 45 months; serologic and clinical data were analyzed. We used simple and multiple logistic regression to model the risk factors for alloimmunization to an HIA. Of the 2591 patients genotyped, 32 (1.2%) were homozygous for at least one variant predicting absence of an HIA. Of these 32 patients, prior transfusion or pregnancy history was available for 29 (91%). Four susceptible patients made an antibody to an
Patricia A.R. Brunker,
Keerthana Ravindran,
R. Sue Shirey
Immunohematology , ISSUE 1, 9–14
Case report
Proximal femoral focal deficiency is an extremely rare congenital anomaly with only a few case reports in the literature. This case illustrates one diagnosed by prenatal ultrasound. The diagnosis may be isolated or associated with other abnormalities and syndromes. This report describes the early obstetrical ultrasound diagnosis, its evolution and associated findings throughout pregnancy. To the best of our knowledge, it is the first report associating this diagnosis with sickle cell trait
Eugenio O. Gerscovich,
Simran Sekhon,
Thomas W. Loehfelm,
Adam Greenspan
Journal of Ultrasonography , ISSUE 71, 294–298
Review
. Ultrasound evaluation of the cesarean section scar is an important element of obstetric and gynecologic practice, especially in the case of further pregnancies. It facilitates an early diagnosis of a cesarean scar ectopic pregnancy, and the prediction of the risk for perinatal dehiscence in the case of a vaginal birth after a cesarean section.
Andrzej Woźniak,
Krzysztof Pyra,
Hugo Rio Tinto,
Sławomir Woźniak
Journal of Ultrasonography , ISSUE 73, 162–165
research-article
Introduction
Threatened miscarriage is a clinical term for vaginal bleeding that occurs during the first 20 weeks of pregnancy where fetus is clinically supposed to be alive. This bleeding may or may not be associated with abdominal pain. About 1/5 of all pregnant females present with symptoms of threatened abortion in the first trimester and almost half of the women with threatened abortion result in pregnancy loss(1). Even women with threatened abortion and a living embryo have increased
Rohit Bhoil,
Sushruti Kaushal,
Reena Sharma,
Jaswinder Kaur,
Tanupriya Sharma,
Rohini Thakur,
Rakesh Sharma
Journal of Ultrasonography , ISSUE 79, 255–260
Editorial
Ultrasonography has been extensively used in obstetrics and gynecology since 1980’s.It found application in pediatric gynecology, procreation period, post-menopause, pregnancy monitoring and after delivery. Although the fi rst reports on the use of ultrasonography in assessing delivery mechanism were published in 1990’s, yet to date labor progress is evaluated by means of physical examination in most delivery units. Intrapartum sonography is not routinely performed despite the fact that
Marzena Dębska,
Piotr Kretowicz,
Romuald Dębski
Journal of Ultrasonography , ISSUE 61, 125–136
research-article
, the data on the course of pregnancy and delivery were re-evaluated for abnormalities and subsequent risks.
Definitions
Planned homebirth was defined as planned birth at home guided by a registered midwife. Hospital births included public tertiary care or secondary care hospitals, other obstetric units led by trained obstetrician or, in fewer cases, primary care (municipal) hospitals led by general practitioner. The general practitioners of primary care hospitals were by rule experienced
Matti Sillanpää,
Maiju M. Saarinen,
Päivi Polo-Kantola
Journal of Epileptology , ISSUE 1-2, 7–14
Case report
Rh is a complex blood group system with diverse genotypes that may encode weak and partial D variants. Standard serologic analysis may identify clinically significant D variants as D+; nevertheless, individuals with these D variants should be managed as D– patients to prevent antibody formation to absent D epitopes. Variant identification is necessary during pregnancy to allow for timely and appropriate Rh immune globulin (RhIG) prophylaxis for hemolytic disease of the fetus and newborn
Jennifer A. Duncan,
Susan Nahirniak,
Rodrigo Onell,
Gwen Clarke
Immunohematology , ISSUE 2, 60–63
research article
Introduction
The foundation of a healthy life begins in pregnancy and early adversity can have detrimental long-term consequences for affected children (1–4). This knowledge has led to increased investment in supporting early childhood development through interventions such as parenting programs (5).
Infants remain dependent upon their parents for many years after birth and are at risk of developmental harm if they suffer neglect or maltreatment during this time because brain plasticity is at
Maiken Pontoppidan,
Tróndur Møller Sandoy,
Sihu K. Klest
Scandinavian Journal of Child and Adolescent Psychiatry and Psychology , 123–134
Case report
delivery after a non-complicated pregnancy. Family history was negative for epilepsy and mental retardation. The neonatal period was uneventful and psychomotor development was normal before the child became 1.5 years old. At the age of 18 months the girl developed hand-wringing stereotypes, facial hypotonia, ataxia and gait apraxia. She lost eye-to-eye contact and verbal contact with relatives, and became indifferent to the surrounding environment. When she was 2 years old, focal adversive seizures
Elena Belousova,
Vladimir Sukhorukov,
Marina Dorofeeva,
Lev Shagam,
Dmitrii V. Vlodavetz
Journal of Epileptology , ISSUE 1-2, 47–51