scholarly journals The Application Value of Prenatal Ultrasound in the Diagnosis of Fetal Malformation

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Xiangyi Xu ◽  
Chaohu Li

Ultrasound examination during pregnancy has become an important part of prenatal care in China and even the world, and it has a vital diagnostic role for malformations and lesions of various fetal systems. A variety of fetal malformations can be treated in utero after prenatal diagnosis or timely treatment after delivery. However, many congenital diseases cannot be confirmed by ultrasound diagnosis, or the prenatal ultrasound performance is inconsistent with the postpartum clinical outcome, which has become a shortcoming of ultrasound diagnosis during pregnancy. This article reviews the main points of ultrasound diagnosis of common fetal malformations.

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):  
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):  
O.I. Guseva, E.V. Shurganova

The case of prenatal ultrasound diagnosis of fetal hepatoblastoma is presented. A massive formation in liver at 31–32 weeks of gestation was found. At 38–39 weeks of gestation woman was admitted to the perinatal center for delivery. Ultrasound examination revealed an increase of liver formation. According to ultrasound data, the formation is interpreted as hepatoblastoma. After birth the diagnosis was confirmed. The child was sent for surgical treatment.


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):  
I.N. Daminov

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.


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.


Sign in / Sign up

Export Citation Format

Share Document