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Severity Stratification by Compression Ultrasound Examination in Lipodermatosclerosis and Diabetic Dermopathy Patients: a Report of Three Cases

abnormalities in diabetic dermopathy. J Am Acad Dermatol . 2011;65:559-563. 9. American Institute of Ultrasound in Medicine, American College of Radiology, Society of Radiologists in Ultrasound. Practice guideline for the performance of peripheral venous ultrasound examinations. J Ultrasound Med . 2011;30:143-150. 10. Bressollette L, Nonent M, Oger E, et al. Diagnostic accuracy of compression ultrasonography for the detection of asymptomatic deep venous thrombosis in medical patients – the TADEUS project. Thromb Haemost . 2001;86:529-533.

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Extraordinary Bulging Mass in the Foetus - A Case Report of Bladder Exstrophy

Abstract

INTRODUCTION: Prenatal diagnosis of bladder exstrophy is extremley rare and difficult. BACKGROUND: Due to abnormal development of the cloacal membrane there is an incomplete closure of the lower abdominal wall, absence of the anterior wall of the bladder and external exposition of the posterior wall. The pubic bones are usually separated, the umbilical cord low inserted and there is abnormal external genitalia development. CASE REPORT: At 21st week of gestation of 39-year-old multigravida multipara referred by a primary care obstetrician to high-specialised centre for a detailed ultrasound examination with a suspicion of bladder absence and inferior umbilical localisation. At 29 weeks of gestation presence of bulging mass of 2 cm, between the umbilical outlet and labia was detected. At 31 weeks of gestation previously detected structure among thighs had 3 cm diameter with lateral umbilical outlet. Major labia were prominent and minor labia were within normal limits. Between two umbilical arteries with an appropriate intraabdominal course there were no transsonic area corresponding to the urinary bladder. The newborn baby was born at term in a good condition, but with an exposed bladder of 4 cm in diameter. The urethral outlet was not visualised and the female genitals were abnormal. After a month the girl underwent primary bladder exstrophy closure. Although she suffers from recurring urinary tract infections, she is in a good general condition. CONCLUSIONS: Due to prenatal diagnostics it was possible to detect and make an initial diagnosis of severe malformation. Early diagnosis allowed to prepare parents for a newborn with a defect and teach them how to take care of the baby.

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Duodenal obstruction in prenatal ultrasound examinations - duodenal atresia versus annular pancreas - reports on two cases and literature review

Abstract

Obstruction of the duodenum is the most common intestinal obstruction of the fetus and newborn. A typical symptom of duodenal atresia is the double bubble sign. However, in order to diagnose annular pancreas, it is also required to locate a hyperechogenic band around the double bubble. We analysed the possibility of prenatal differential diagnosis of intestinal atresia, such as duodenal atresia and annular pancreas based on the analysis of two cases examined in the 26th week of pregnancy. This material was analysed by two ultrasonographers (one pediatric surgeon).

Conclusions: "Double bubble" symptom in prenatal sonography is typical of high level intestinal obstruction, but it can occur both in classical duodenal atresia, and in the cases of annular pancreas, and in other rare anomalies. Classic prenatal ultrasound examination using 2D option seems to be insufficient for accurate differential diagnosis.

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Can Inflammatory Markers Diagnosed Upon Ultrasound Examination During Pregnancy Regress After Administration of Vaginal Treatment? – A Pilot Study

Abstract

Background: Inflammatory markers in prenatal ultrasound are a heterogeneous group of images that can evolve during pregnancy, due to regression or exacerbation of infection in pregnant women.

Objective:The assessment if effective rebalancing of the bacterial flora of the vagina can lead to withdrawal of the symptoms of inflammation in ultrasound examination (US).

Methods: A retrospective pilot study, among pregnant woman admitted to the Department of Prenatal Cardiology ICZMP in 2013-2014 in whom ultrasonographic signs of intrauterine infection were present. Electronic database were searched for key words ”infection, placentitis, tricuspid regurgitation, poly/oligohydramnion, IUGR, CRP, antibiotics, vaginal treatment”. The analysis included 238 patients, 30 received antibacterial vaginal treatment, from 27 patients a complete follow-up (control ultrasound after 10-14 days and data on labor) were obtained.

Results: The average age of patients was 29 years. In 22% of patients tricuspid regurgitation was observed and it was the most commonly recognized marker of infection. Regression of infection signs were observed in 21 patients (77.8%) after 2 weeks of vaginal treatment.

2 patients presented with ultrasound image stabilization, in 3 patients worsening of tricuspid regurgitation or cardiac hypertrophy were detected. Polyhydramnios, the second most common parameter (18.51% of patients) resolved after treatment in all studied patients. The delivery took place an average at 39th week of gestation (SD +/- 1.93).

Conclusions: Effective anti-inflammatory vaginal treatment improved ultrasound images in 21 out of 27 fetuses. These preliminary observations suggesting a beneficial role of the vaginal treatment on inflammatory markers in pregnancy ultrasound require further investigation.

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Otopalatodigital syndrome type I: novel characteristics and prenatal manifestations in two siblings

couple was uneventful during the first trimester. Ultrasound examination at 22 weeks of gestation, showed normal fetal growth, however, broad nasal bridge, micrognathia and low set ears were detected ( Figures 1 and 2 ). Fetal fingers were also broadly spaced with abducted thumb and possible agenesis of some metacarpal bones. Spina bifida in a lumbosacral region was also present ( Figure 3 ). Fetal magnetic resonance imaging (MRI) was performed, confirming mandibular and nasal hypoplasia, as well as lumbosacral dysraphism with meningocele. Karyotyping yielded a

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Association of the ACE rs4646994 and rs4341 polymorphisms with the progression of carotid atherosclerosis in slovenian patients with type 2 diabetes mellitus

rs4341) affect progression of carotid atherosclerosis in a 4-year follow-up. Materials and Methods In this cross-sectional study, 595 (338 males; 257 females) subjects with T2DM and 200 (92 males; 108 females) subjects withoutT2DM (control group) were enrolled as described previously [ 4 ]. The study protocol was approved by the Slovene Medical Ethics Committee (128/09/2010). After informed consent for participation in the study was obtained, a detailed interview was made. All ultrasound examinations were performed by two experienced doctors blinded to

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Recurrence rate in regional lymph nodes in 737 patients with follicular or Hürthle cell neoplasms

treatment. 20 - 22 Our study confirmed the well-known fact that the recurrence rate in regional lymph nodes is common in Hürthle cell carcinoma. 23 - 26 It was diagnosed in as much as 16% of patients with Hürthle cell carcinoma. The recurrence rate in our patients is comparable to reports in the literature. Khafif et al ., Stojadinovic et al . and Mills et al . reported that locoregional recurrence occurred in 10.5%, 16% and 34% of cases, respectively. 23 - 25 Conclusions Preoperative neck ultrasound examination in patients with a follicular neoplasm is

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Ultrasound elastography can detect placental tissue abnormalities

pregnancies were included. For both fetal biometry and strain elastography, Ascendus (Hitachi Aloka Medical) with Eup-L52 probes were used for ultrasound examinations. After the regular prenatal examination was performed (biparietal diameter, abdominal circumference, and femur length of the fetus), elastographic evaluation was performed using two protocols. First, the fat lesion ratio (FLR), which expresses the ratio of the elasticity of the target tissues (placenta) to subcutaneous fat (reference), was measured and calculated according to the manufacturer’s instructions

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Femoral Intima-media Thickness, Risk Factors, and Markers of Inflammation in Cardiovascular Disease

, Godoi JT, Oliveira DC, Costa GF. Intima-Media Thickness in the Carotid and Femoral Arteries for Detection of Arteriosclerosis in Human Immunodeficiency Virus-Positive Individuals. Arq Bras Cardiol . 2017;108:3-11. 20. Lucatelli P, Fagnani C, Tarnoki AD, et al. Femoral Artery Ultrasound Examination. Angiology . 2017;68:257-265. 21. Held C, Hjemdahl P, Eriksson SV, Björkander I, Forslund L, Rehnqvist N. Prognostic implications of intima-media thickness and plaques in the carotid and femoral arteries in patients with stable angina pectoris. Eur Heart J

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A real health problem of our days: Colorectal Cancer

Abstract

Acute pancreatitis represents the acute inflammatory process of the pancreas which can remain localized in the gland or could extend in the tissues around the pancreas or retroperitoneal tissues and also at the organs from the pancreatic lodge.

The diagnosis is usually based on the increase in pancreas volume and on the changes in structure objected on the ultrasound examination. It is characterised by a “release” of enzymes out of the pancreatic ducts associated with oedema and necrosis in the parenchyma and in the retroperitoneal area.

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