Aim: Thyroid is a suitable organ for the investigation with ultrasonog- 13±6.27 ml (man; 15.87±7.18, women; 10.94±4.53, p<0.05). Mean Isthmus thickness was 3. 23±1.10 mm (men; 3.42±1.14, women; 3.10±1.05
Fetal intra-abdominal umbilical vein varix (FIUVV) is a focal aneurysmal dilatation of the umbilical vein. Its clinical importance has not yet been clearly established, but it has been reported to be associated with increased fetal death rate (in nearly 44% of cases) and chromosomal abnormalities (in 12% of cases). We report 2 cases of FIUVV diagnosed via sonography in the third trimester. 1,2 With the development of sonography and Doppler sonography, diagnosis has become easier than in the past.The clinical importance of FIUVV has not yet been clearly established, but it has been reported to be associated with increased fetal death rate (in nearly 44% of cases) and chromosomal abnormalities (in 12% of cases).1-3 We report 2 cases of FIUVV diagnosed via sonography in the third trimester.
CASE REPORTS Case 1A 31-year-old healthy woman, gravida 2, para 1, was referred to our radiology department for sonographic examination. Her first pregnancy was normal. A second-trimester sonographic examination at another institution was unremarkable. The examination was performed with a Voluson 730 Expert (GE Medical Systems, Milwaukee, WI) equipped with a 2-5-MHz curved-array probe. A normal intrauterine fetus of nearly 29 weeks' gestational age was present according to the patient's last menstrual period and sonographic measurements. The biparietal diameter was 69 mm, the femur length was 55 mm, and the abdominal circumference was 248 mm. The estimated fetal weight was 1,300 g with normal amniotic fluid index, umbilical artery, and uterine artery pulsatility index. However, intra-abdominal umbilical vein varix with transverse diameter of 11 mm over an 18-mm segment was diagnosed near the anterior abdominal wall ( Figure 1A). Color Doppler analysis also showed turbulent flow in the varicose segment ( Figure 1B). Otherwise, the fetus was structurally normal. The patient declined chromosomal investigation. Weekly sonographic monitoring was recommended, but the patient did not return for follow-up examinations. She delivered a healthy girl weighing 2,600 g via cesarean section peformed at 35 gestational weeks at another institution.
Case 2A 29-year-old woman, gravida 1, para 0, was referred for sonographic examination at approximately 36 weeks' gestation according to her last menstrual period and sonographic measurements. The patient had a second-trimester examination at another institution that was reportedly
No statistical significance was found between age, sex, body mass index, occupation, and associated chronic disease and deep or superficial venous system incompetence. A statistically significant difference was found between the SSV diameter of the limbs and associated venous incompetence.
Magnetic resonance angiography and digital substraction angiography (DSA) findings in a case with a rare congenital thoracoabdominal aortic hypoplasia and common celiamesenteric trunk variation with occlusion of infrarenal abdominal aorta are described here. To our knowledge, this aortic anomaly has not been previously described in the English literature. DSA is the optimum imaging modality for determination of aortic hypoplasia, associated vascular malformations, collateral vessels, and direction of flow within vessels.
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