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pregnancy termination of fetal duodenal atresia

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https://www.readbyqxmd.com/read/27864598/impact-of-fetal-counseling-on-outcome-of-antenatal-congenital-surgical-anomalies
#1
Shilpa Sharma, Ranjana Bhanot, Dipika Deka, Minu Bajpai, Devendra K Gupta
AIM: To analyze the impact of counseling on antenatal congenital surgical anomalies (ACSA). METHODS: Cases presenting with ACSA for fetal counseling and those presenting in post-natal period following diagnosis of ACSA (PACSA) for surgical opinion were analyzed for spectrum, presentation and outcome. RESULTS: 117 cases including ACSA(68);PACSA(49) were analyzed. Gestational age at diagnosis of ACSA;PACSA was 17-37;17-39 weeks (median 24;32 weeks)...
November 18, 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/26175315/clinical-significance-of-the-prenatal-double-bubble-sign-single-institution-experience
#2
Anna Kucińska-Chahwan, Anna Posiewka, Julia Bijok, Grzegorz Jakiel, Tomasz Roszkowski
OBJECTIVE: The objective of this study is to determine the risk of aneuploidy, associated structural anomalies, and pregnancy outcome in the presence of prenatal double bubble sign detection. METHOD: We have performed a retrospective study on ultrasound reports and pregnancy outcomes in 42 fetuses with double bubble sign examined in our ultrasound department between 1998 and 2013. RESULTS: Additional major defects or aneuploidy markers were present in 24 fetuses...
November 2015: Prenatal Diagnosis
https://www.readbyqxmd.com/read/26152019/pregnancy-associated-with-melanoma-and-fetal-anomalies-a-case-report-and-review-of-literature
#3
REVIEW
J Jeremić, K Jeremić, A Stefanović, M Gojnić, J Stojnić, Z Nikolić
The estimated incidence of melanoma complicating pregnancy has ranged from 0.1 to 2.8 per 1,000 pregnancies. Here the Authors present a case of a 40-year-old pregnant woman, who was admitted to the Clinic of Obstetrics and Gynaecology in 26 weeks of gestation, with diagnosis of melanoma and suspected with fetal anomaly, as possible bowel obstruction, and polyhydraminos. The melanoma was asported with a wide local excision under local anesthesia. Histological evaluation revealed melanoma Stage Ib (Clark IV, Breslow thickness 1...
2015: Clinical and Experimental Obstetrics & Gynecology
https://www.readbyqxmd.com/read/19551391/duodenal-atresia-associated-anomalies-prenatal-diagnosis-and-outcome
#4
M S Choudhry, N Rahman, P Boyd, K Lakhoo
BACKGROUND: The diagnosis of duodenal atresia is commonly made prenatally, either as an isolated lesion or due to its association with other chromosomal abnormalities (Robertson et al. in Semin Perinatol 18:182-195, 1994; Hemming and Rankin in J Prenat Diagn 27:1205-1211, 2007). The aim of this study was to describe the prevalence of associated anomalies, prenatal diagnostic accuracy and survival of cases of congenital duodenal atresia in our institution. METHODS: All cases of duodenal atresia registered with our local congenital anomaly register over a 10-year period, 1995-2004 inclusive, were studied, including those resulting in termination of pregnancies, stillbirths, intrauterine deaths and neonatal deaths...
August 2009: Pediatric Surgery International
https://www.readbyqxmd.com/read/17825165/fetal-echocardiographic-screening-in-twins-for-congenital-heart-diseases
#5
Hui Li, Tao Meng, Tao Shang, Yun-ping Guan, Wei-wei Zhou, Guang Yang, Li-hua Bi
BACKGROUND: Congenital heart disease (CHD) is the most common congenital disorder at birth. Yagel and colleagues's method of heart examination has been proved valuable in finding CHD prenatally in single pregnancies. The aim of this study was to analyze the frequency of CHD in twin pregnancies and the sensitivity of the method. METHODS: A total of 1103 pregnant women with twins were enrolled in this study, including 127 cases with high-risk for CHD. Five transverse ultrasound measurements were used for fetal heart examination, including the upper abdomen view, four-chamber view, five-chamber view, pulmonary artery bifurcation view, and three-vessel view...
August 20, 2007: Chinese Medical Journal
https://www.readbyqxmd.com/read/17442179/-prenatal-diagnosis-of-congenital-fetal-heart-abnormalities-in-twins-by-yagel-s-heart-examination-method
#6
Hui Li, Tao Meng, Tao Shang, Yun-Ping Guan, Wei-Wei Zhou, Guang Yang, Li-Hua Bi
OBJECTIVE: To investigate the value and clinical significance of congenital heart diseases (CHD) detection in twins. METHODS: A total of 1103 twins were included in this study (127 twins were at high risk for CHD). The fetal hearts were scanned by ultrasound using Yagel's heart examination method. Autopsies were done when the pregnancy was terminated. And blood samples from fetal hearts or umbilical veins were used to evaluate fetal chromosomes. A close follow-up was conducted for normal heart cases and another heart examination was done within three months after birth...
February 2007: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/12566773/congenital-diaphragmatic-hernia-two-cases-with-early-prenatal-diagnosis-and-increased-nuchal-translucency
#7
François Varlet, Frantz Bousquet, Alix Clemenson, Céline Chauleur, Nathalie Kopp-Dutour, Mireille Tronchet, Georges Teyssier, Fabienne Prieur, Marie-Noëlle Varlet
The early ultrasound prenatal diagnosis of congenital diaphragmatic hernia is uncommon and suggests a poor outcome. We report 2 cases diagnosed at 10 and 12 weeks' gestation, with increased fetal nuchal translucency thickness (4 and 11 mm) and associated abnormalities (complex heart defect in one and many malformations in the other, including duodenal atresia and asplenia). In 1 case, the baby was delivered vaginally at 36 weeks, but neonatal death occurred; the pregnancy was terminated at 15 weeks in the second case...
January 2003: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/9494915/antenatal-screening-for-down-s-syndrome
#8
REVIEW
N J Wald, A Kennard, A Hackshaw, A McGuire
In 1968 the first antenatal diagnosis of Down's syndrome was made and screening on the basis of selecting women of advanced maternal age for amniocentesis was gradually introduced into medical practice. In 1983 it was shown that low maternal serum alpha fetoprotein (AFP) was associated with Down's syndrome. Later, raised maternal serum human chorionic gonadotrophin (hCG), and low unconjugated oestriol (uE3) were found to be markers of Down's syndrome. In 1988 the three biochemical markers were used together with maternal age as a method of screening, and this has been widely adopted...
1997: Journal of Medical Screening
https://www.readbyqxmd.com/read/8807765/esophageal-and-duodenal-atresia-in-a-fetus-with-down-s-syndrome-prenatal-sonographic-features
#9
L S Chitty, J Goodman, M J Seller, D Maxwell
Ultrasound examination of a 22-week fetus demonstrated a grossly distended stomach and proximal duodenum, with a large cystic area in the chest. There was associated polyhydramnios. A presumptive diagnosis of duodenal atresia with a congenital diaphragmatic hernia was made. Analysis of a fetal blood sample showed that the fetus had Down's syndrome. Histological examination after termination of the pregnancy revealed the unusual combination of duodenal and esophageal atresia, with an intact diaphragm.
June 1996: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/1481814/fetal-ultrasound-abnormalities-correlation-with-fetal-karyotype-autopsy-findings-and-postnatal-outcome-five-year-prospective-study
#10
R D Wilson, D Chitayat, B C McGillivray
A 5-year prospective prenatal study in 151 pregnancies with 152 malformed fetuses detected by ultrasound was evaluated cytogenetically. Thirty-five fetuses (23%) had abnormal karyotypes. Specific anatomical fetal malformations identified by ultrasound increase the risk for fetal chromosome abnormalities. Risks of abnormal chromosomes in the fetus are present with both single and multiple anomalies including amniotic fluid volume although the risk is increased with specific anatomical systems and multiple malformations...
November 15, 1992: American Journal of Medical Genetics
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