RESUMO
AIM: Intra-uterine growth restriction (IUGR) is an important cause for prematurity as well as a significant risk factor for neurodevelopmental deficits. In this study, we aimed to examine the association between IUGR and early brain injury on neonatal cranial ultrasound in preterm infants. METHODS: This retrospective cohort study examined the relationship between IUGR and neonatal cranial ultrasound findings in preterm infants <32 weeks gestation with IUGR, compared with gestation and year of birth-matched appropriately grown infants, in a tertiary level neonatal unit. Primary outcome was incidence and severity of intraventricular haemorrhage (IVH), periventricular leucomalacia (PVL) and hydrocephalus detected by cranial ultrasound in the neonatal period. RESULTS: A total of 153 IUGR and 306 non-IUGR preterm infants <32 weeks were included. The rates of IVH (21.6% vs. 23.9%), severe IVH (3.9% vs. 4.6%), PVL (8.4% vs. 9.4%), cystic PVL (2.6% vs. 0%) and hydrocephalus (0.7% vs. 0.3%) were similar in the two groups. Composite outcome of death and severe brain injury (severe IVH, cystic PVL and hydrocephalus) was greater (20.2% vs. 9.1%, P = 0.001) in IUGR infants. CONCLUSION: IUGR did not lead to increased neonatal brain injury on cranial ultrasound but was associated with increased mortality. Advanced neonatal neuroimaging techniques may be necessary to estimate risk and to provide prognostic information of adverse neurological outcomes in this vulnerable population.
Assuntos
Hemorragia Cerebral/epidemiologia , Ecoencefalografia/métodos , Retardo do Crescimento Fetal/epidemiologia , Hidrocefalia/epidemiologia , Doenças do Prematuro/epidemiologia , Leucomalácia Periventricular/epidemiologia , Hemorragia Cerebral/diagnóstico por imagem , Estudos de Coortes , Feminino , Retardo do Crescimento Fetal/diagnóstico por imagem , Idade Gestacional , Humanos , Hidrocefalia/diagnóstico por imagem , Incidência , Recém-Nascido , Recém-Nascido Prematuro , Doenças do Prematuro/diagnóstico por imagem , Leucomalácia Periventricular/diagnóstico por imagem , Masculino , Estudos Retrospectivos , Fatores de RiscoRESUMO
Hydatids of Morgagni are very common incidental findings during laparoscopy in women of all age groups. However, torsion of these hydatids is very rarely reported in the literature. This report discusses the importance of considering torsion of hydatids of Morgagni in young adolescent girls who present with acute-onset lower abdominal pain.