ABSTRACT
We report a case of gastroschisis which was not diagnosed antenatally and was delivered through lower segment caesarean section due to non-reassuring cardiotocograph and small for gestational age fetus in a 21-year old mother. It was associated with oligohydramnios and partial extension of wrist joint in the neonate. After delivery, baby was referred to tertiary care for specialized care by paediatric surgeon and neonatologist where he had silo reduction and surgical repair. Postnatally, the baby is in healthy condition till now
Subject(s)
Humans , Female , Gastroschisis/surgery , Oligohydramnios/etiology , Gestational Age , Cesarean Section , Delivery, Obstetric , Infant, NewbornABSTRACT
Se realizó un estudio prospectivo, de corte transversal en todas aquellas pacientes embarazadas a las que les realizó diagnóstico mediante ultrasonido de oligoamnios, y que fueron ingresadas a las salas del Hospital Berta Calderón Roque durante el periodo de 01 de junio- 31 de diciembre del 2007, el universo y la muestra fue constituido por 49 pacientes embarazadas con diagnóstico por ultrasonido de oligohidramnios. Los principales resultados obtenidos fueron: Las pacientes estudiadas en su mayoría estaban comprendida en el grupo etáreo de 20- 35 años, eran solteras, amas de casa, de procedencia urbana, con bajo nivel de escolaridad y multigestas. Los antecedentes patológicos no fueron signifativos en la aparición o presencia de malformaciones fetales, tenían controles prenatales deficientes y aproximadamente un 70 por ciento de las pacientes tenían un embarazo mayor de 37 semanas de gestación. Se encontraron patologías asociadas durante el embarazo como: Síndrome hipertensivo del embarazo, cervicovaginitis, infección de vías urinarias y anemias entre otras...
Subject(s)
Urogenital Abnormalities/diagnosis , Urogenital Abnormalities , Amniotic Fluid , Oligohydramnios/diagnosis , Oligohydramnios/etiology , Oligohydramnios/mortality , Oligohydramnios/pathology , Fetal Growth Retardation/classification , Fetal Growth Retardation/diagnosis , Fetal Growth Retardation/pathologyABSTRACT
OBJECTIVES: To correlate prenatal and postnatal findings of urorectal septum malformation sequence and to study spectrum of malformation. METHODS: Nine cases were reviewed with features suggestive of urorectal septum malformation (URSM) sequence. Associated anomalies were studied. Sex of the fetus was assigned by karyotype when available or by examination of internal genitalia. RESULTS: Out of nine cases 5 fetuses were male and 4 were female. Gestational age ranged from 14 to 34 weeks. Six cases were complete URSM sequence and 3 were partial URSM sequence. Associated anomalies of other systems were seen in 4 cases. In one case karyotype was 47, XXY. CONCLUSION: Cases with severe oligohydromnios with or without distended bladder, URSM sequence should be suspected, as this condition is usually lethal. Non-visualization of bladder, presence of hydronephrosis, multicystic kidneys or distended gut loops suggests the possibility of URSM sequence. The confirmation of diagnosis is possible after autopsy. Associated malformation of other organs and deformation due to oligohydromnios are commonly present.
Subject(s)
Abnormalities, Multiple/diagnostic imaging , Anal Canal/abnormalities , Fatal Outcome , Female , Humans , Male , Oligohydramnios/etiology , Physical Examination , Pregnancy , Syndrome , Ultrasonography, Prenatal , Urogenital Abnormalities/diagnostic imagingABSTRACT
Bilateral renal agenesis or Potter's Syndrome is an extremely rare congenital anomaly associated with oligohydramnios. The infants die off pulmonary hypoplasia. We herewith report five cases of Potter's Syndrome over a span of one year.
Subject(s)
Abnormalities, Multiple/pathology , Adolescent , Adult , Female , Humans , Infant, Newborn , Kidney/abnormalities , Male , Oligohydramnios/etiology , Pregnancy , Syndrome , Ureter/abnormalitiesABSTRACT
Meckel Gruber syndrome (MGS), an autosomal recessive disorder characterised by posterior encephalocoele, multicystic kidneys and post-axial polydactyly should be recognised by obstetricians and paediatricians to counsel parents regarding the 25% recurrence risk. We report a consanguineous family with MGS affecting three infants.
Subject(s)
Abnormalities, Multiple/diagnosis , Autopsy , Consanguinity , Encephalocele/complications , Fatal Outcome , Female , Fetal Death/etiology , Fetal Growth Retardation/etiology , Genetic Counseling , Humans , Infant, Newborn , Oligohydramnios/etiology , Polycystic Kidney Diseases/complications , Polydactyly/complications , Pregnancy , Risk Factors , Syndrome , Ultrasonography, PrenatalSubject(s)
Humans , Female , Pregnancy , Alkaline Phosphatase , Fetal Organ Maturity , Hyaline Membrane Disease , Amniotic Fluid/physiology , Obstetric Labor, Premature , Oligohydramnios/diagnosis , Polyhydramnios/diagnosis , Pulmonary Surfactants/drug effects , Respiratory Distress Syndrome, Newborn , Amniocentesis , Amniocentesis/adverse effects , Collagen , Creatinine , Fetal Membranes, Premature Rupture/therapy , Fibronectins , Phospholipids/analysis , Phospholipids , gamma-Glutamyltransferase , Hyaline Membrane Disease/physiopathology , Infant, Premature , Rh Isoimmunization/diagnosis , Amniotic Fluid/cytology , Meconium Aspiration Syndrome/therapy , Obstetric Labor, Premature/diagnosis , Oligohydramnios/complications , Oligohydramnios/etiology , Phosphatidylglycerols , Phosphatidylinositols , Polyhydramnios/etiology , Polyhydramnios/therapy , Pregnancy in Diabetics , Pregnancy Trimester, Third , Pulmonary Surfactants/biosynthesis , Pulmonary Surfactants/therapeutic use , Respiratory Distress Syndrome, Newborn/etiology , Respiratory Distress Syndrome, Newborn/physiopathologySubject(s)
Humans , Male , Female , Pregnancy , Adolescent , Adult , Acidosis/physiopathology , Cerebrovascular Circulation , Placental Circulation , Fetal Distress/diagnosis , Fetal Hypoxia/diagnosis , Fetal Monitoring , Oligohydramnios/etiology , Pregnancy, Prolonged , Ultrasonography, Prenatal/methods , Acidosis/etiology , Amniotic Fluid , Fetal Death , Fetal Death/etiology , Fetal Development , Fetal Distress , Infant, Newborn, Diseases , Oligohydramnios/physiopathology , Pregnancy ComplicationsSubject(s)
Humans , Female , Pregnancy , Oligohydramnios/etiology , Oligohydramnios/diagnosis , Oligohydramnios/therapyABSTRACT
Reportamos un caso de concepción y gestación a termino en una paciente con esclerosis sistémica y tuberculosis renal, mientras estaba recibiendo tratamiento anti-tuberculoso. Durante el embarazo desarrolló oligoamnios y retardo de crecimiento intrauterino, pero la esclerosis sistémica permaneció estable y no desarrolló complicaciones. Después del parto la paciente fue dada de alta y se perdió de seguimiento luego de un año