Restrictive dermopathy and associated prenatal ultrasound findings: case report

AbstractIt is a rare and underdiagnosed entity. The adagium “one only sees what one knows” is certainly true in cases of Blake's pouch cyst, as all types of posterior fossa cysts and cyst-like malformations may present nearly identical on initial imaging studies. Only one case of Blake's pouch cyst has been reported from this country, except for a case in utero, in which a diagnosis of Blake's pouch cyst was made on prenatal ultrasound and later confirmed by MRI. In this report we describe a case of Blake's pouch cyst in a 9-month-old male child along with the principles of diagnosis of Blake's pouch cyst, in combination with literature review. Differentiating Blake's pouch cyst from other posterior fossa cysts and cyst-like malformations and recognizing the accompanying hydrocephalus that are essentially noncommunicating have important implications not only on clinical management but also on genetic counseling, which is unnecessary in case of Blake's pouch cyst.

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Prenatal Ultrasound Diagnosis of Intestinal Obstruction: A Case Report

American Journal of Perinatology ◽

10.1055/s-2007-999604 ◽

1989 ◽

Vol 6 (03) ◽

pp. 324-325 ◽

Cited By ~ 6

Author(s):

Osama Bahgat ◽

Michael Lev-Gur ◽

Michael Divon

Keyword(s):

Case Report ◽

Intestinal Obstruction ◽

Prenatal Ultrasound ◽

Ultrasound Diagnosis

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Use of lung ultrasound for diagnosis and monitoring of coronavirus disease 2019 pneumonia: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x20958915 ◽

2020 ◽

Vol 8 ◽

pp. 2050313X2095891

Author(s):

Debo Yun ◽

Yan Cui ◽

Yuan Geng ◽

Yujiao Yang

Keyword(s):

Case Report ◽

Severe Acute Respiratory Syndrome ◽

Early Diagnosis ◽

Lung Ultrasound ◽

Nasopharyngeal Swab ◽

Ultrasound Images ◽

Healthcare Settings ◽

Pleural Line ◽

Ultrasound Findings ◽

Spread Of Infection

Knowledge of lung ultrasound characteristics of coronavirus disease 2019 pneumonia might be useful for early diagnosis and clinical monitoring of patients, and lung ultrasound can help to control the spread of infection in healthcare settings. In this case report, a 36-year-old man with severe acute respiratory syndrome coronavirus 2 infection was diagnosed by reverse transcription-polymerase chain reaction testing of a nasopharyngeal swab. The lung ultrasound findings for this patient were the interstitial-alveolar damage showing bilateral, diffuse pleural line abnormalities, subpleural consolidations, white lung areas and thick, irregular vertical artifacts. When the patient recovered from the severe acute respiratory syndrome coronavirus 2 infection, lung ultrasound images showed a normal pleural line with A-lines regularly reverberating. Performing lung ultrasound at the bedside minimizes the need to move the patient, thus reducing the risk of spreading infection among healthcare staff. Lung ultrasound is useful for early diagnosis and evaluation of the severity of coronavirus disease 2019 pneumonia and for monitoring its progress over the course of the disease.

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Novel Risk Score for Fetuses with Congenital Diaphragmatic Hernia Based on Ultrasound Findings

European Journal of Pediatric Surgery ◽

10.1055/s-0039-1698768 ◽

2019 ◽

Vol 30 (01) ◽

pp. 051-058

Author(s):

Keita Terui ◽

Kouji Nagata ◽

Masahiro Hayakawa ◽

Hiroomi Okuyama ◽

Shoichirou Amari ◽

...

Keyword(s):

Prediction Model ◽

Congenital Diaphragmatic Hernia ◽

Risk Score ◽

Diaphragmatic Hernia ◽

Validation Cohort ◽

Prenatal Ultrasound ◽

Odds Ratios ◽

Ultrasound Findings ◽

Liver Herniation ◽

Thoracic Stomach

Abstract Introduction We aimed to establish and validate a risk score for fetuses with congenital diaphragmatic hernia (CDH) using only prenatal ultrasound findings. Material and Methods Derivation (2011–2016, n = 350) and validation (2006–2010, n = 270) cohorts were obtained from a Japanese CDH study group database. Using a logistic regression analysis, we created a prediction model and weighted scoring system from the derivation dataset and calculated the odds ratio of an unsatisfactory prognosis (death within 90 days of life or hospitalization duration exceeding 180 days). Five adverse prognostic factors obtained using prenatal ultrasound, including an observed/expected lung area-to-head circumference ratio (o/eLHR) <25%, liver herniation occupying more than one-third of the thoracic space, thoracic stomach, right-side CDH, and severe malformations, were used as predictors. The obtained model was validated using the validation cohort. Results The unsatisfactory prognosis prediction model was obtained based on the adjusted odds ratios. The C statistics of the model were 0.83 and 0.80 in the derivation and validation datasets, respectively. The five variables were weighted proportionally to their adjusted odds ratios for an unsatisfactory prognosis (o/eLHR <25%, 1 point; liver herniation occupying more than one-third of the thoracic space, 1 point; thoracic stomach, 1 point; right-side CDH, 2 points; and severe malformations, 3 points). Unsatisfactory prognosis rates for the low- (0–2 points), intermediate- (3–5 points), and high-risk (6–8 points) groups were 17, 46, and 100%, respectively (p < 0.001), in the validation cohort. Conclusion Our simple risk score effectively predicted the prognosis of fetuses with CDH.

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