Aim:We evaluated the ability of fetal neurosonography and magnetic resonance imaging (MRI) to asses callosal anomalies (CA) and associated cranial malformations. We also aimed to determine the long-term prognosis of the cases. Methods: Thirty-six cases of CA diagnosed combined with neurosonography and MRI between January 2012 and October 2017 were retrospectively reviewed. Results: Seventeen of 36 fetuses were diagnosed complete agenesis of corpus callosum (CACC) (47.2%), 9 had partial agenesis of corpus callosum (PACC) (25%) and 10 was dysgenesis of the corpus callosum (DCC) (27.2%) at ultrasonography (US) examination. Fetal MRI reported 16 of cases as CACC (44.4%), 11 PACC (30.5%) and nine (25%) DCC. The overall consistency between neurosonography and MRI in the definition of CA were 91% of cases. Sulcation anomalies were present in 9 cases in the US (25%) and 11 cases in MRI (30.4%). Seven of cases showed posterior fossa abnormalities in the US (19.4%) and eight cases in MRI (22.1%). Neonatal MRI added new findings to fetal MRI and neurosonography including grade-1 intraventricular hemorrhage and periventricular leukomalacia in two cases (12.5%). Eighteen cases were terminated (50%), 17 cases were followed up and mean follow up interval was 39 AE 5.1 months. The neurologic outcome was abnormal in seven (41.7%) patients. Presence of associated brain anomalies worsened the prognosis. Conclusion: Fetal neurosonography has a comparable performance with MRI in the diagnosis of CA and associated anomalies. It should be used in collaboration with MRI to achieve accurate diagnosis which is crucial for counseling.
<b><i>Objectives:</i></b> We aimed to determine the incidence of the absence of the (last) 12th ribs in a population in a setting of detailed 2nd-trimester sonography using three-dimensional (3D) ultrasound and to assess whether or not this may be related to chromosomal aneuploidies. <b><i>Methods:</i></b> Prospectively, we counted fetal ribs for the absence of the (last) 12th ribs in singleton pregnancies of women who presented to our clinic for detailed 2nd-trimester sonography. The assessment was carried out using 3D ultrasound. Volume data sets were acquired with the 3D skeleton mode using the maximum intensity with X-ray-weighted rendering. If the 3D skeleton mode was not sufficient, volume contrast imaging with the OmniView bone mode was used. <b><i>Results:</i></b> The fetal ribs could be visualized in 97.01% of the 1,943 fetuses examined between 20 and 23 weeks’ gestation. Timing the examination at 21, 22, or 23 weeks was found to be more successful than conducting it at 20 weeks. Twelfth ribs were found to be absent in 33 fetuses; 16 fetuses had 11 ribs unilaterally and 17 had so bilaterally. None of them had chromosomal abnormalities. Associated anomalies were present in 6 fetuses (18.2%); 2 of the anomalies were major and 4 minor. <b><i>Conclusion:</i></b> The incidence of absent 12th ribs in this mixed population was 1.75%. In the absence of additional anomalies, the prognosis is favorable.
More favorable pregnancy outcomes can be achieved with a multidisciplinary team and satisfactory counseling is mandatory either preconception and through the pregnancy to reduce maternal-fetal risks.
epatic hemangiomas are benign tumors of vascular origin. They are estimated to constitute 1-5% of total pediatric malignancies and listed as most commonly diagnosed tumors after hepatic hepatoblastoma in pediatric patients. 1,2 While some of these tumors may be unrecognized due to a small size in clinical practice, a noticeably large sized tumor may cause severe coagulopathy due to thrombocyte depletion and abdominal hemorrhage. This condition is called as Kasabach Merritt Syndrome and results from the rupture of the tumor. Prenatal diagnosis is often based on the presence of an abdominal mass with a high blood flow appearing in color Doppler ultrasonography. Although small sized tumors can be managed expectantly, large sized tumors may require medical therapy (corticosteroids), surgical intervention, such as ligation of feeding arteries, mass excision or hepatic transplantation. We present prenatal diagnosis and postnatal management of a case with a hepatic hemangioma. CASE REPORT A gravida 2, para 0 woman, aged 28 years, approached our hospital due to intra abdominal cystic mass. There was no known risk factor in the obstetric history and first-trimester ultra-sound examination was normal. A detailed scan at 19-week revealed a 22-mm diameter heterogeneous , predominantly multicystic lesion in the upper right abdomen (Figure 1).
Midüretral sling cerrahileri, günümüzde stres üriner inkontinansın cerrahi tedavisinde en sık uygulanan yöntemlerdir. Midüretral sling cerrahileri minimal invaziftir; başarı oranları yüksek ve komplikasyonları nadirdir. Ancak; komplikasyonları diğer stress üriner inkontinans cerrahilerinden farklıdır. Komplikasyonlar; peroperatif, erken dönem ve geç dönem komplikasyonlar olarak üçe ayrılabilir. Bu derlemede komplikasyonlar ve önleme yolları ve çözüm önerilerine değinilecektir.
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