Prenatal ultrasound diagnosis and outcomes of congenital lung malformations: the Center’s 10-year experience with 363 cases

ABSTRACT Purpose We present our experience in prenatal diagnosis and obstetrical management of congenital lung malformations (CLM). Materials and methods The diagnosis of CLM was performed during routine second and third trimester fetal morphology assessment. The extent of the disease was established according to the type, localization and size of the pulmonary lesion and the presence of fetal complications (mediastinal shift, fetal hydrops, hydramnios). Termination of pregnancy (TOP) was indicated in cases associated with extrapulmonary anomalies, untreatable cases and fetal hydrops. After delivery a pulmonary X-ray and surgical examination was performed in all newborns. Results We diagnosed 15 cases with congenital lung malformations. Of these, 9 had congenital cystic adenomatoid malformation (CCAM). TOP was performed in 6 cases with CCAM. Three cases had a favorable pre/postnatal evolution. Bronchopulmonary sequestration (BPS) was diagnosed in 3 cases, all with favorable perinatal evolution. Right pulmonary agenesis was diagnosed in one case and the outcome was neonatal death. One case of congenital high airway obstruction syndrome was followed by TOP. One case of severe bilateral pulmonary hypoplasia (secondary to a severe bilateral hydrothorax) resulted in neonatal death. Conclusion Obstetrical management is established individually depending on the severity of the cases. How to cite this article Iliev G, Dumitrascu I, Grigore M, Mihalceanu E, Scripcaru D, Zoican G, Aprodu G, Bivoleanu A, Petrariu A, Stamatin M. Lung Malformations: Prenatal Ultrasound Diagnosis and Obstetrical Management. Donald School J Ultrasound Obstet Gynecol 2014;8(2):134-143.

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The case of prenatal diagnosis of pilonidal cyst

10.21516/2413-1458-2019-18-2-148-151 ◽

2019 ◽

Author(s):

V.V. Ezhova

Keyword(s):

Prenatal Diagnosis ◽

Prenatal Ultrasound ◽

Ultrasound Diagnosis ◽

Pilonidal Cyst

The case of prenatal ultrasound diagnosis of pilonidal cyst at 25 weeks of gestation is presented. The diagnosis was confirmed after birth.

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Experience of prenatal diagnosis of true knots of the umbilical cord during ultrasound examination in the third trimester of gestation

10.21516/2413-1458-2019-18-2-127-132 ◽

2019 ◽

Author(s):

M.Y. Morozova, V.V. Zotov, M.S. Kovalenko et all

Keyword(s):

Prenatal Diagnosis ◽

Umbilical Cord ◽

Ultrasound Examination ◽

Technological Advance ◽

Prenatal Ultrasound ◽

Ultrasound Diagnosis ◽

Review Of The Literature ◽

Third Trimester ◽

The Third

Despite the rapid technological advance, the expansion of prenatal ultrasound diagnosis, as well as the accumulation of experience by both domestic and foreign experts, prenatal recognition of true knots of the umbilical cord causes significant difficulties. Three cases of successful ultrasound diagnosis of true knots of the umbilical cord and brief review of the literature are presented.

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The case of prenatal ultrasound diagnosis of the fetal superior occipital encephalocele in the second trimester of gestation

10.21516/2413-1458-2018-17-4-360-365 ◽

2018 ◽

Author(s):

I.N. Daminov , S.F. Nasirova

Keyword(s):

Prenatal Ultrasound ◽

Ultrasound Diagnosis ◽

Second Trimester ◽

External Examination ◽

Occipital Encephalocele

The case of prenatal ultrasound diagnosis of fetal superior occipital encephalocele at 19 weeks of gestation is presented. The pregnancy was terminated at 20 weeks of gestation. An external examination of the abortus confirmed the prenatal ultrasound diagnosis.

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Congenital multilocular arachnoid cyst of the interhemispheric fissure

10.21516/2413-1458-2018-17-1-52-57 ◽

2018 ◽

Author(s):

D.V. Doroshenko

Keyword(s):

Cognitive Impairment ◽

Cesarean Section ◽

Arachnoid Cyst ◽

Prenatal Ultrasound ◽

Ultrasound Diagnosis ◽

Excellent Outcome ◽

Interhemispheric Fissure

The prenatal ultrasound diagnosis of large multilocular interhemispheric arachnoid cyst at 34 weeks of gestation is presented. No other anomalies were noticed. Patient was scheduled for the cesarean section. An infant was undergone the surgery with fenestration of the cyst three months later. In this case, arachnoid cyst had an excellent outcome and was not associated with neurological or cognitive impairment.

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Prenatal differential ultrasound diagnosis of congenital heart diseases with interventricular septal defect and dextroposed aorta

10.21516/2413-1458-2017-16-3-250-256 ◽

2017 ◽

Author(s):

M.V. Medvedev, M.V. Kubrina

Keyword(s):

Congenital Heart ◽

Septal Defect ◽

Heart Diseases ◽

Prenatal Ultrasound ◽

Ultrasound Diagnosis ◽

Congenital Heart Diseases

Main prenatal ultrasound differential patterns of congenital heart diseases including interventricular septal defect and dextroposed aorta are presented.

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Prenatal ultrasound diagnosis of pulmonary atresia in combination with left atrial isomerism

10.21516/2413-1458-2017-16-1-66-71 ◽

2017 ◽

Author(s):

M Medvedev, M.V. Kubrina, O.S. Zarubina et all

Keyword(s):

Left Atrial ◽

Reverse Flow ◽

Ductus Arteriosus ◽

Pulmonary Atresia ◽

Prenatal Ultrasound ◽

Ultrasound Diagnosis ◽

Right Atrial ◽

Second Trimester ◽

Left And Right ◽

Atrial Isomerism

Two cases of prenatal ultrasound diagnosis of left atrial isomerism in the second trimester of gestation is presented. These two cases were in combination with pulmonary atresia and right aortic arch. Left atrial isomerism was identify by the digit-like shape of the left and right atrial appendages. The pulmonary atresia was identified on the basis of reverse flow in small pulmonary artery. A right aortic was identified by “U”-shaped confluence of aorta and ductus arteriosus in view of three vessels and trachea. The trachea was located between the vessels. The pregnancies were terminated and prenatal diagnosis was conformed at autopsy

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Extrachorial placentation. Part 1. Realities and potential of ultrasound diagnosis

10.21516/2413-1458-2020-19-2-125-132 ◽

2020 ◽

Author(s):

À.Å. Volkov

Keyword(s):

Ultrasound Imaging ◽

Prenatal Ultrasound ◽

Ultrasound Diagnosis

Аn analysis of the ultrasound diagnosis of extrachorial type of placentation (EPT): placenta circumvallata and placenta placenta marginata is presented. The frequency of prenatal ultrasound detection of EPT was 0.77 % (319/41 626). In the postanatal period EPT was noted in 3.14 %. Issues of ultrasound imaging and low detection of EPT during pregnancy were discussed.

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The case of prenatal ultrasound diagnosis of fibular hemimelia, type I associated with oligodactyly of the foot in the second trimester of gestation

10.21516/2413-1458-2020-19-1-68-72 ◽

2020 ◽

Author(s):

I.N. Daminov

Keyword(s):

Ultrasound Examination ◽

Lower Extremities ◽

Lower Leg ◽

Prenatal Ultrasound ◽

Ultrasound Diagnosis ◽

Type I ◽

Second Trimester ◽

Prenatal Counseling ◽

External Examination ◽

Fibular Hemimelia

A case of prenatal ultrasound diagnosis of fibular hemimelia, type I associated with oligodactyly of the foot at 22 weeks of gestation is presented. Ultrasound examination at 22 weeks of gestation revealed hypoplasia of the left fibula and the foot oligodactyly. After prenatal counseling, the patient opted for termination of pregnancy. During external examination of the abortus asymmetry of the lower extremities due to shortening of the left lower leg and oligodactyly of the left foot were noted, those confirmed prenatal ultrasound data.

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