A case of prenatal ultrasound diagnosis of idiopathic infantile arterial calcification of the right heart in multiple pregnancies

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.

Author(s):  
M.V. Medvedev, N.A. Altynnik, A.I. Zamiatina et all

Six cases of prenatal ultrasound diagnosis of aberrant right subclavian artery at 12+2–14+2 weeks of gestation are presented. To 5 cases earlier published was added a case of prenatal diagnosis of the right aberrant subclavian artery in fetus with multiple congenital abnormalities at 13+3 weeks of gestation. Opportunities of early prenatal ultrasound diagnosis of the right aberrant subclavian artery on first screening are discussed.


Author(s):  
M.V. Medvedev, M.V. Kubrina, Y.G. Voytuk et all

A retrospective analysis of 6 cases of prenatal diagnosed of gallbladder duplication is presented. The average gestational age at prenatal diagnosis was 25,6 weeks (range 19–36 weeks) of gestation. In all cases two fluidcontaining cystic structures in the right upper quadrant of a fetus were found during ultrasound examination. These structures were saccular in morphology and located adjacent to the fetal liver.


Author(s):  
M.V. Medvedev

The case of prenatal ultrasound diagnosis of Meckel’s diverticulum at 26 weeks of gestation is presented. A detailed fetal ultrasound examination identified anechoic, ovoid, fluid-containing structure in the right lower hemiabdomen, 39  14  15 mm in size. A healthy male was born by spontaneous vaginal delivery at 41 weeks of gestation. A successful postnatal laparotomy on the 11th postnatal day was performed and prenatal diagnosis was confirmed.


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):  
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):  
N.P. Marchenko, E.A. Shevchenko

The article describes a case of the prenatal diagnosis of Lejeune syndrome in 19 weeks 6 days of gestation. The following sonographic findings were identified: broad bridge, snub nose, hypoplasia of nasal bones and mandible, hypoplasia of the cavity of pellucid septum, ventriculomegaly. The patient was given 46,XX,del(5)(P12)[18] prenatal karyotyping. The family was consulted by the Regional Prenatal Board. The pregnancy was terminated by the family decision. The phenotype characteristics and congenital malformations discovered with the prenatal diagnosis were being then confirmed in the postmortem examination.


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