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https://www.readbyqxmd.com/read/28079767/primary-gastric-choriocarcinoma-presenting-as-a-pregnancy-of-unknown-location
#1
Alyssa Larish, Amanika Kumar, Sarah Kerr, Carrie Langstraat
BACKGROUND: Pregnancy of unknown location presents a diagnostic challenge, in rare occasions leading to the diagnosis of malignancy. We describe a case of β-hCG-secreting nongestational primary gastric choriocarcinoma presenting as a pregnancy of unknown location. CASE: A 37-year-old woman, gravida 4 para 3013, presented with several days of vaginal bleeding and rising β-hCG level without ultrasound localization of pregnancy. The diagnosis of pregnancy of unknown location was made and methotrexate administered at a β-hCG level of 7,779 milli-international units/mL...
January 9, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28078779/association-between-zika-virus-and-foetopathy-a-prospective-cohort-study-in-french-guiana-preliminary-report
#2
Pomar Léo, Malinger Gustavo, Benoist Guillaume, Carles Gabriel, Ville Yves, Rousset Dominique, Hcini Najeh, Pomar Céline, Jolivet Anne, Lambert Véronique
OBJECTIVES: The main objectives of the present study were to establish the existence of significant differences in the incidence of central nervous system (CNS) anomalies (including microcephaly), signs of congenital infection, or foetal loss between Zika virus (ZIKV)-infected and non-infected pregnant women in western French Guiana. METHODS: This prospective cohort study was conducted between January 1(st) and July 15(th) 2016. We evaluated the clinical and foetal ultrasound (US) examinations of 301 pregnant women with biological confirmation of ZIKV infection and 399 pregnant women who were negative for ZIKV infection...
January 12, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28078758/periconceptional-maternal-high-fish-and-olive-oil-low-meat-dietary-pattern-is-associated-with-increased-embryonic-growth-the-rotterdam-periconceptional-cohort-predict-study
#3
Francesca Parisi, Melek Rousian, Nicole A Huijgen, Anton H J Koning, Sten P Willemsen, Jeanne H M de Vries, Irene Cetin, Eric A P Steegers, Régine P M Steegers-Theunissen
OBJECTIVE: To investigate associations between periconceptional maternal dietary patterns and first trimester embryonic growth. METHODS: 228 women with singleton ongoing pregnancies were enrolled in a prospective periconceptional cohort study, comprising of 135 strictly dated spontaneous pregnancies and 93 pregnancies achieved after in vitro fertilization or intracytoplasmatic sperm injection (IVF/ICSI pregnancies). All women underwent longitudinal transvaginal three-dimensional ultrasound (3D-US) scans from 6(+0) up to 13(+0) weeks of gestation...
January 12, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28076990/outcomes-in-the-absence-of-the-ductus-venosus-diagnosed-in-the-first-trimester
#4
Hiroko Takita, Junichi Hasegawa, Tatsuya Arakaki, Shoko Hamada, Mayumi Tokunaka, Masamitsu Nakamura, Ryu Matsuoka, Akihiko Sekizawa
PURPOSE: To clarify the outcomes of the absence of the ductus venosus diagnosed in fetuses suspected to have a structural abnormality during a morphological assessment in the first trimester. METHODS: Infants in whom ultrasound fetal morphological assessments were attempted in the first trimester (11 to 13-6 weeks of gestation) and who were subsequently delivered between 2013 and 2015 at Showa University Hospital were enrolled. In cases in which the absence of the ductus venosus was diagnosed in the first trimester, the prognosis was assessed...
January 11, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28074461/acute-appendicitis-during-pregnancy-case-series-of-20-pregnant-women
#5
İlker Murat Arer, Songül Alemdaroğlu, Hasan Yeşilağaç, Hakan Yabanoğlu
BACKGROUND: Acute appendicitis (AA) is the most common cause of acute abdomen during pregnancy. Most of the signs of appendicitis are also found during normal pregnancy period, however, and diagnosis of appendicitis during pregnancy remains challenging. The aim of the current study was to report our clinical experience of AA during pregnancy and investigate optimal management of this difficult situation. METHODS: Records of 20 pregnant women with diagnosis of AA who underwent appendectomy between 2005 and 2015 were included in this study...
November 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28069173/periconceptional-maternal-biomarkers-of-one-carbon%C3%A2-metabolism-and-embryonic-growth-trajectories-the-rotterdam-periconceptional-cohort-predict-study
#6
Francesca Parisi, Melek Rousian, Anton H J Koning, Sten P Willemsen, Irene Cetin, Eric A P Steegers, Régine P M Steegers-Theunissen
OBJECTIVE: To study the associations between the periconceptional maternal biomarkers of one-carbon metabolism and embryonic growth. DESIGN: Prospective, periconceptional hospital-based birth cohort. SETTING: Tertiary medical care center. PATIENT(S): Between 2010 and 2014, 236 women with early singleton ongoing pregnancies that resulted in 139 strictly dated spontaneous pregnancies and 97 pregnancies conceived after assisted reproductive technology...
January 6, 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28067746/increasing-age-is-a-risk-factor-for-decreased-postpartum-pelvic-floor-strength
#7
Lieschen H Quiroz, Stephanie D Pickett, Jennifer D Peck, Ghazaleh Rostaminia, Daniel E Stone, S Abbas Shobeiri
OBJECTIVES: This study aimed to determine factors associated with decreased pelvic floor strength (PFS) after the first vaginal delivery (VD) in a cohort of low-risk women. METHODS: This is a secondary analysis of a prospective study examining the risk of pelvic floor injury in a cohort of primiparous women. All recruited participants underwent an examination, three-dimensional ultrasound and measurement of PFS in the third trimester and repeated at 4 weeks to 6 months postpartum using a perineometer...
January 6, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28067000/limitations-and-pitfalls-in-prenatal-diagnosis-of-pericallosal-curvilinear-lipoma-based-on-a-specific-imaging-pattern
#8
Anthony Atallah, Audrey Lacalm, Mona Massoud, Jérome Massardier, Pascal Gaucherand, Laurent Guibaud
We report the first series of five cases of prenatal diagnosis of pericallosal curvilinear lipoma (CL) and underline limitations and pitfalls in identifying a specific prenatal imaging pattern using ultrasound and MRI. On ultrasound, the main referring feature was a short corpus callosum in all cases. This subtle callosal dysgenesis was associated with a band of hyperechogenicity surrounding the corpus callosum, which can mimic the pericallosal sulcus, and increased in size over the third trimester in three out of four cases in which sonographic follow-up was obtained...
January 9, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28063263/three-dimensional-ultrasound-first-trimester-fetal-volume-measurement-and-its-relation-to-pregnancy-outcome
#9
Haitham A Torky, Asem A Moussa, Ali M Ahmad, Osama Dief, Manar A Eldesoouky, Ahmed S El-Gayed
AIM OF WORK: To determine whether fetal volume (FV) measured by three-dimensional (3D) ultrasound was able to detect fetuses at risk of low birth weight (primary outcome) and/or preterm labor (secondary outcome). METHODS: One hundred pregnant women carrying a singleton living pregnancy who were sure of dates, and had a dating scan, with gestational age between 11 weeks and 13 weeks+6 days coming for routine first trimester nuchal translucency (NT) were examined by both two-dimensional (2D) and 3D ultrasound (Vocal System) for crown-rump length (CRL) and FV then followed up regularly every 4 weeks until 28 weeks then biweekly until 36 weeks then weekly until delivery both clinically and by ultrasound biometry...
January 7, 2017: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/28062907/prediction-of-fetal-loss-by-first-trimester-crown-rump-length-in-ivf-pregnancies
#10
Rinat Gabbay-Benziv, Amir Dolev, Ron Bardin, Israel Meizner, Benjamin Fisch, Avi Ben-Haroush
OBJECTIVE: To evaluate the association between small crown-rump length (CRL) and fetal loss ≤22 weeks in IVF pregnancies. METHODS: A retrospective analysis of prospectively collected data at a university-affiliated medical center. All singleton IVF pregnancies within a 5-year period, with a live embryo on first-trimester ultrasound and verified pregnancy outcome were included. Rates of fetal loss ≤22 weeks were compared between pregnancies with a CRL ≤tenth percentile and above the tenth percentile of our population...
January 7, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28042787/-predictive-factors-of-the-outcomes-of-prenatal-hydronephrosis
#11
Paolo Bragagnini, Blanca Estors, Reyes Delgado, Miguel Ángel Rihuete, Jesús Gracia
OBJECTIVES: To determine prenatal and postnatal independent predictors of poor outcome, spontaneous resolution, or the need for surgery in patients with prenatal hydronephrosis. METHODS: We performed a retrospective study of patients with prenatal hydronephrosis. The renal pelvis APD was measured in the third prenatal trimester ultrasound, as well as in the first and second postnatal ultrasound. Other variables were taken into account, both prenatal and postnatal...
December 2016: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28040148/twin-twin-transfusion-syndrome-in-a-monozygotic-pregnancy-with-obvious-lambda-sign-in-first-trimester-ultrasound
#12
Susumu Murata, Mayumi Takano, Yukiko Kagawa, Michihisa Fujiwara, Masahiro Sumie, Masahiko Nakata
No abstract text is available yet for this article.
December 2016: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28040135/pallister-killian-syndrome-cytogenetics-and-molecular-investigations-of-mosaic-tetrasomy-12p-in-prenatal-chorionic-villus-and-in-amniocytes-strategy-of-prenatal-diagnosis
#13
Francesco Libotte, Domenico Bizzoco, Ivan Gabrielli, Alvaro Mesoraca, Pietro Cignini, Salvatore Giovanni Vitale, Ilaria Marilli, Ferdinando Antonio Gulino, Agnese Maria Chiara Rapisarda, Claudio Giorlandino
OBJECTIVE: Pallister-Killian syndrome (PKS) is a rare, sporadic genetic disorder caused by mosaic tetrasomy of the short arm of chromosome 12 (12p). Clinically, PKS is characterized by several systemic abnormalities, such as intellectual impairment, hearing loss, epilepsy, hypotonia, craniofacial dysmorphism, pigmentary skin anomalies, epilepsy, and a variety of congenital malformations. Prenatally, PKS can be suspected in the presence of ultrasound anomalies: diaphragmatic hernia, rhizomelic micromelia, hydrops fetalis, fetal overweight, ventriculomegaly in the central nervous system, congenital heart defects, or absent visualization of the stomach...
December 2016: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28029461/-prevention-of-preterm-birth-by-uterine-cervical-cerclage
#14
L Marcellin
OBJECTIVE: To review the scientific literature on cervical insufficiency and indications of cervical cerclage cervix. MATERIALS AND METHODS: The PubMed database, the Cochrane Library and the recommendations from the French and international obstetrical societies between 1972 and June 2016 have been consulted. RESULTS: Cervical insufficiency is a pathophysiological concept and to date no consensual definition is available: the diagnosis is clinical and discussed retrospectively in case of patients with a history of late miscarriages and/or spontaneous preterm delivery, with asymptomatic dilatation of the cervix (professional consensus)...
October 29, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/28029460/-predictive-tools-of-preterm-birth-in-asymptomatic-high-risk-pregnancy
#15
J Blanc, F Bretelle
OBJECTIVE: Describe tools designed to predict preterm birth in asymptomatic high-risk pregnancy and determine their predictive value. METHODS: The PubMed database, the Cochrane Library and the recommendations from the French and foreign obstetrical societies or colleges have been consulted. RESULTS: Obstetric history particularly spontaneous preterm birth identifies a population at risk for preterm birth for the current pregnancy (LE3). This risk is related to the number of prior preterm birth and is even higher than the term of the prior event is more premature and that the event concerns the last pregnancy (LE3)...
October 29, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/28006080/crown-rump-length-audit-plots-with-the-use-of-operator-specific-papp-a-and-%C3%A3-hcg-median-mom
#16
Joan Sabria, Laura Guirado, Isabel Miró, Maria Dolors Gómez-Roig, Antoni Borrell
OBJECTIVE: Audit the crown-rump length (CRL) measurements taken at 11-13 weeks scan, using operator-specific median multiples of the median (MoM) for pregnancy-associated plasma protein-A (PAPP-A) and free ß-human chorionic gonadotropin (ß-hCG) plots, to identify deviations potentially related to a systematic CRL bias. METHODS: Study population included consecutive singleton pregnancies undergoing first trimester combined screening, scanned by sonologists with at least 100 scans, during the 2011-12 period...
December 22, 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/28005592/ultrasound-in-assisted-reproductive-technologies-and-the-first-trimester-is-there-a-risk
#17
Jacques S Abramowicz
Ultrasound is routinely used in assisted reproductive technology for monitoring of follicular growth, oocyte retrieval and embryo transfer, as well as for the assessment of early embryonic development in the first 5 to 8 weeks of pregnancy. Ultrasound is a form of energy, which will affect live tissues it traverses (bioeffects) by being partially transformed into heat (thermal effect) and by alternating positive and negative pressures (nonthermal or mechanical effect). In the United States 2 indices (thermal and mechanical index) must be displayed on-screen to provide the clinicians an indication of possible thermal and nonthermal changes...
December 21, 2016: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27992943/hyperechogenic-bowel-etiologies-management-and-outcome-according-to-gestational-age-at-diagnosis-in-279-consecutive-cases-in-a-single-center
#18
Vincenzo Davide Catania, Alessandra Taddei, Marcella Pellegrino, Erika Adalgisa De Marco, Laura Merli, Carlo Manzoni, Lorenzo Nanni, Lucia Masini
Introduction The aim of the study was to investigate perinatal outcome of fetuses with hyperechogenic bowel (HB) in relation to gestational age at diagnosis. Materials and Methods This is a retrospective observational study of fetal HB cases from 2002 to 2012. Patients were divided into three groups according to trimester at diagnosis. For each group, data from fetal ultrasound examination, fetal medicine investigations, intrapartum cares, and neonatal outcome were obtained. Results A diagnosis of HB was made in 279 fetuses among them 17 (6%) during the first trimester, 186 (67%) during the second trimester, and 75 (27%) during the third trimester...
December 19, 2016: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27981591/what-prenatal-ultrasound-features-are-predictable-of-complex-or-vanishing-gastroschisis-a-retrospective-study
#19
Dorothée Geslin, Pauline Clermidi, Marie-Eve Gatibelza, Françoise Boussion, Anne-Hélène Saliou, Gaëlle Le Manac'h Dove, Marc Margaryan, Philine De Vries, Loïc Sentilhes, Guillaume Levard, Hubert Lardy, Alexis Arnaud, Marc-David Leclair, Guillaume Podevin, Françoise Schmitt
OBJECTIVE: to evaluate prenatal ultrasound parameters as prognostic factors for complex and vanishing gastroschisis METHODS: retrospective multicentre study of 200 gastroschisis over 13 years (2000-2013). Collection of prenatal ultrasound evaluation on maternal and fetal growth parameters, intra- and extra-abdominal bowel and stomach dilation, abdominal wall defect diameter and changes in bowel appearance. Correlation of these factors with the presence of mechanical intestinal complications at birth, named "complex gastroschisis"...
December 16, 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27981284/complete-atrioventricular-septal-defect-in-the-era-of-prenatal-diagnosis
#20
REVIEW
Daniel Mureşan, Claudiu Mărginean, Gabriela Zaharie, Florin Stamatian, Ioana Cristina Rotar
Complete atrioventricular septal defect (CAVSD) is a fetal cardiac malformation (5% of all cardiac malformations) that can be detected prenatally with a reserved prognosis. The diagnosis can be suspected early at the end of the first trimester using the transabdominal or transvaginal ultrasound approach. Generally, the diagnostic can be established during the mid-trimester scan at 19-24 weeks of gestation. The percentage of antenatal diagnostic of CAVSD is between 57-92%. This review aims to analyze the anatomical principles and the ultrasound techniques that can improve the prenatal diagnosis of CAVSD...
December 5, 2016: Medical Ultrasonography
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