Search Results

1 - 10 of 47 items :

  • "management" x
  • Gynaecology and Obstetrics x
Clear All
Pelvic floor disorders
Rational Diagnostic and Surgical Management
Malignant Fetal Brain Tumor - Diagnosis, Management, Prognosis. Case Report and Literature Review

Abstract

A case of the rare fetal brain tumor is presented. This initally was observed as bleeding and ventriculomegaly and it was diagnosed at 28th week gestation by 2D, 3D and TUI ultrasound. The patient remained under the perinatal care until the end of pregnancy: cesarean section was performed at 37th week of gestation. Despite neurosurgery, the baby died on the 3rd day of postnatal life. On the basis of histopathological examination the diagnosis was established such as highly malignant tumor with focal ependymal and neuronal differentation that expands the current histopathology tumors classification.

Open access
Case report. Longitudinal Echo Monitoring in Fetus with Phenotypical Marfan Syndrome, Helpfull for Perinatal Management - Case Presentation and Literature Review

Abstract

It was the second pregnancy of an otherwise healthy married couple. The fetus (male) had detailed echocardiography monitoring in the second half of the pregnancy due to progression of cardiomegaly, and echocardiographic features of congestive heart failure. Marfan syndrome was suspected based on cardiac anomalies. For the first time, the rupture of aneurysm of aortic sinus Valsalva was documented. Despite transplacental treatment with digoxin there was fetal demise at the 34th week of gestation and postmortem newborn phenotype confirmed prenatal diagnosis.

Marfan Syndrome is a rare genetic anomaly which can be diagnosed prenatally by detailed echocardiography, usually with bad prognosis (just opposite to “benign” case diagnosed later on in life span). The most common prenatal cardiac manifestations are cardiomegaly with signs of cardiac insufficiency. We present the case with new echocardiographic features.

Open access
How "fast" reading of prenatal cardiac diagnosis may badly influence the neonatal management - case report from tertiary center in 2015 and literature review

Abstract

Complains about prenatal diagnoses usually touch late diagnosis, missed diagnosis or uncomplete diagnosis. Prenatal diagnose provides usually important information for parents, obstetrician and neonatologist. Successful perinatal care is based on a good cooperation of the perinatal team. This time we present a peculiar situation when improper reading of prenatal diagnosis had caused a lot of troubles for the patient, parents and hospital staff.

Open access
Recommendations for Fetal Echocardiography in Twin Pregnancy in 2016

, CRC Press, 2007 14. Morin L., Lim K., Ultrasound in Twin Pregnancies, SOGC Clinical Practice Guideline, 2011, No 260. 15. Donnenfeld AE, Glazerman LR, Cutillo DM, Librizzi RJ, Weiner S. Fetal exsanguination following intrauterine angiographic assessment and selective termination of a hydrocephalic, monozygotic co-twin. Prenat Diagn. 1989 May;9(5):301-8. 16. Sklansky M, Greenberg M, Lucas V, Gruslin-Giroux A. Intrapericardial teratoma in a twin fetus: diagnosis and management. Obstet Gynecol. 1997 May;89(5 Pt 2):807-9. 17. Rizzo G, Muscatello

Open access
The Prognosis for Fetuses with Vein of Galen Malformation and Symptoms of Heart Failure

and review of the literature. Ultrasound Obstet Gynecol. 2012, 40: 652-658. 4. Hartung J Heling KS, Rake A, Zimmer C, Chaoui R. Detection of an aneurysm of the vein of Galen following signs of cardiac overload in a 22-week old fetus. Prenat Diagn. 2003 Nov, 23(11):901-3. 5. Lasjaunias PL Chng SM, Sachet M, Alvarez H, Rodesch G, Garcia-Monaco R. The management of vein of Galen aneurysmal malformations. Neurosurgery. 2006 Nov, 59(5 Suppl 3):S184-94; discussion S3-13. 6. Yan J Wen J, Gopaul R, Zhang CY, Xiao SW. Outcome

Open access
Retrospective Analysis of Preterm Neonates with Congenital Heart Defects Delivered by Cesarean Section: Unfavourable Outcomes a Necessity for Fetal Cardiology Education During Obstetrical Training?

evaluation: time for consideration. Prenat Cardiol. 2015: 5: 18-23. 11. Słodki M, Respondek-Liberska M, Pruetz JD, Donofrio MT. Fetal cardiology: changing the definition of critical heart disease in the newborn. J Perinatol. 2016; 36: 575-580. 12. Słodki M. Habilitation Thesis. Medical University Lodz, PWSZ Plock: Poland,2012, https://www.researchgate.net/publication/291337775_Prenatal_and_perinatal_management_for_pregnant_women_with_fetal_cardiac_defects_based_on_new_prenatal_cardiac_anomalies_classification_Polish.

Open access
Prenatal 3RD Trimester Expectation of Fetal or Neonatal Demise and Perinatal Team Approach

;140(17):1834-1839. 10. Milner R, Adzick NS. Perinatal management of fetal malformations amenable to surgical correction. Curr Opin Obstet Gynecol. 1999;11(2):177-183. 11. Stevens GH, Schoot BC, Smets MJ, Kremer B, Manni JJ, Gavilanes AW, Wilmink JT, van Heurn LW, Hasaart TH. The ex utero intrapartum treatment (EXIT) procedure in fetal neck masses: a case report and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2002 10;100(2):246-250. 12. Matte GS, Connor KR, Toutenel NA, Gottlieb D, Fynn-Thompson F.Modified EXIT-to-ECMO with Optional

Open access
Atypical Heart Defect in One of the Twins with Trisomy 21

Abstract

Twin gestations are higher risk pregnancies for fetal mortality especially when associated with genetic disorder and congenital heart defect which significantly increases the complication risk in the co-twin including fetal loss, premature delivery, and organ damage. In this report, we present a case of dichorionic twins in 41 years old woman. A trisomy 21 was diagnosed in one twin associated with uncharacteristic congenital heart defect resulting in single twin demise in mid-gestation. The effect of regular care and proper management was delivery of healthy surviving twin.

Open access
Transposition of great arteries (d-TGA) in the first trimester - a case report

Abstract

D-type transposition of the great arteries (d-TGA) is a critical heart defect lesion, that should be diagnosed prenatally, as early postnatal management greatly relies on this information. Recently, in Poland more heart defects of this type are diagnosed prenatally. However, there is a lack of data regarding the diagnosis of d-TGA at the time of nuchal translucency measurement at 11-13+6 weeks of pregnancy. We present a case of d-TGA that was detected and properly diagnosed during the first trimester scan. The diagnostic plane that enabled the diagnosis was the three vessel-trachea view (3VT) presenting one, wide vessel instead of a typical V-sign.

Open access