Image characterisation by CT/MRI is classically based on internal morphology, tissue characterisation, vascularity and topographic features. MRI is recommended for the
Swyer syndrome is also known as complete/pure gonadal dysgenesis & is associated with an absence of testicular differentiation in a phenotypic female with a 46, XY karyotype. A 23-year-old married girl had come with complaints of primary infertility. She was averagely built & nourished. She had well developed secondary sexual characteristics like breast development, axillary hairs, and pubic hairs (Tanners stage 4) secondary to receiving HRT for getting menses. External genitalia was of female type. Karyotype showed genotype of 46, XY. Magnetic resonance imaging revealed hypoplastic uterus with rudimentary fallopian tubes , and fibrotic gonad like tissue. A diagnosis of Swyer syndrome was made. The patient was started on hormonal replacement therapy. Dysgenetic streak gonads were removed laparoscopically . Pathologic examination revealed seminiferous tubules ,rete testis & epididymis without evidence of malignant transformation. The patient tolerated the procedure well . Thus laparoscopic prophylactic gonadectomy revealed to be an economical ,straightforward and simple procedure in this patient & risk of neoplasia could be prevented.
Chorioangiomas are benign tumours of the placenta, characterised by AV shunting within placenta leading to fetal anaemia, cardiomegaly and hydrops. Maternal complications are also possible such as polyhydramnios, APH and Mirror syndrome. Chorioangiomas of a large size (> 4 cm) can create complications for the fetus and expectant mothers. Chorioangioma is often associated with unfavourable effects on the mother as well as on the fetus. The following article is the case report of a patient who presented with polyhydramnios associated with chorioangioma of placenta with Preterm premature rupture of membranes.
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