Prenatal ultrasound diagnosis of pelvic tumors. I. Sacrococcygeal teratomas. Literature review

Author(s):  
I.V. Tikhonenko

Literature review on ultrasound prenatal diagnosis of sacrococcygeal teratomas, including complications, prognosis, management and time and mode of delivery is presented. Ultrasound images of different types of sacrococcygeal teratomas are demonstrated.

Author(s):  
N.A. Altynnik, M.V. Medvedev, Å.G. Voytuk

Sixteen cases of prenatal ultrasound diagnosis of chorionic bump at 6–29 weeks of gestation, as well as an analysis of the literature covering 97 cases of prenatal diagnosis of chorionic bump is presented. All cases of chorionic bump was isolated. In 14 (87.5 %) cases the outcome of pregnancy was favourable, in 2 (12.5 %) cases were poor outcome. Сhorionic bump on first-trimester sonography is not necessarily associated with a guarded prognosis, but it condition is recommended to assign the patient to the high-risk group of a threatened miscarriage and ensure careful dynamic ultrasound observation.


Author(s):  
I.V. Tsikhanenka , A.N. Chukanov

Literature review of prenatal ultrasound and MRI-diagnosis of fetal ovarian cyst is presented. Cysts evolution, ultrasound features and related risk of complications and postnatal surgical intervention are reviewed. Authors analyzed data of publications in aspects of time of diagnosis, complications and outcomes of antenatal diagnosed ovarian cysts. Antenatal and postnatal management are discussed.


Author(s):  
V.V. Ezhova

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


Author(s):  
M.Y. Morozova, V.V. Zotov, M.S. Kovalenko et all

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.


Author(s):  
A.E. Volkov , V.V. Voloshin , O.A. Fomenko

The case of prenatal ultrasound diagnosis of congenital brain teratoma at 35 weeks 4 days of gestation is presented. At ultrasound examination no pathology was detected at 12, 21 and 31 weeks of gestation. During ultrasound scanning of the fetus at 35 weeks of gestation the following changes were revealed: the brain architecture is represented by a thinned cortex, inhomogeneous cystic solid formation, significant macrocephaly and hydrocephaly. Pregnancy is ended by сaesarean section. A liveborn fetus with significant macrocephaly is extracted. He died after 2 days after birth. The tumor is estimated as a congenital immature (malignant) teratoma of the brain accordance with histological examination.


Author(s):  
M.V. Kubrina, E.G. Voytuk

Three own cases of diagnosing anomalies of the relative position of the kidneys (horseshoe kidney) are presented. Two cases were diagnosed prenatally at 19+6 and 25+3 weeks of gestation, in one case no prenatal changes were identified, the diagnosis was made postnatally in the month of the child’s life. In all cases, the change was isolated. Thus, the possibility of prenatal diagnosis of a horseshoe kidney in our center was 66.7 %. In all cases the diagnosis of a horseshoe kidney was confirmed postnatally using ultrasound examination, and in one case magnetic resonance imaging of the abdominal organs was additionally performed. Prenatal ultrasound diagnosis of a horseshoe kidney was possible due to the presence of adhesion of the lower poles with the whole mass and abnormal location of the kidneys, or the detection of a characteristic large parenchymal isthmus between the lower poles, located suprapertebrally. In the case of a typical location of the kidneys and the presence of a relatively thin isthmus between the poles, the diagnosis of this anomaly in the prenatal period caused certain difficulties.


Author(s):  
Yu.V. Shatokha

The case of prenatal ultrasound diagnosis of single umbilical artery aneurysm is presented. During ultrasound examination at 21 weeks of gestation several anomalies in the umbilical cord were detected: the umbilical right artery was missing and dilatation of the umbilical artery with a diameter 10 mm close to fetus. With colour Doppler and pulsed Doppler was demonstrated arterial turbulent flow in the aneurysm. Prenatal diagnosis of the single umbilical artery aneurysm was made. Other fetal measurements were normal. The diameter of the aneurysm increased throughout the pregnancy till 16 mm at 33 weeks of gestation. Cesarean section was performed at 34 weeks with baby weight 2150 g. The post-delivery examination of the umbilical cord confirmed the prenatal diagnosis. No chromosomal abnormalities were found. After six months the baby is alive and well.


Author(s):  
O.V. Chursina, T.V. Yudintseva

The 2 cases prenatal ultrasound diagnosis of OEIS complex (omphalocele (O) + exstrophy of the cloaca (E) + imperforate anus (I) + spinal defect (S)) in the first trimester are presented. The problems of differential prenatal diagnosis and prognosis, possibility of early diagnostic complex detection are discussed.


Author(s):  
N.L. Pavlova , L.E. Êarymova , A.Yu. Blinov et all

A case of prenatal ultrasound diagnosis of an extremely rare congenital pathology of the cardiovascular system at 19 weeks of gestation in one of the fetuses with dichorionic diamniotic twins is presented. The peculiarity of the case is that this pathology was realized by the defeat not of the left (as described in literary sources), but of the right heart. The prenatal diagnosis was verified by postmortem examination.


2011 ◽  
Vol 44 (03) ◽  
pp. 489-493
Author(s):  
Poornima Kadagad ◽  
Pascal Pinto ◽  
Rajesh Powar

ABSTRACT Objectives: To assess the attitudes of pregnant women and mothers of children with orofacial clefts toward prenatal diagnosis of clefts and elective termination of pregnancy, and to investigate their opinion about who makes reproductive decisions in the family. Design: Two hundred subjects were included in the study prospectively regarding hypothetical prenatal ultrasound diagnosis of clefts. Setting: The study was done in a private tertiary care institution and a teaching hospital. Subjects/Participants: One hundred pregnant women consulting the Obstetrics department and 100 mothers of children with orofacial clefts in the Cleft and Craniofacial Unit were selected. Materials and Methods: Group I subjects were interviewed using a questionnaire and were shown preoperative and postoperative pictures of children treated for cleft lip and palate. Group II subjects were interviewed using a questionnaire. Results: Only 3% of Group I subjects and 2% of Group II opined that they would choose the elective termination of pregnancy if the fetus was diagnosed with a cleft on an ultrasound scan. In Group II, 70% subjects wished to have known about pregnancy affected with cleft prenatally and 96% said they would definitely avail ultrasound scans to determine pregnancy affected by clefts in future. Conclusions: Majority of the respondents from both the groups chose to continue with the pregnancy affected with a cleft when questioned regarding hypothetical prenatal ultrasound diagnosis of the cleft.


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