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1.
J Obstet Gynaecol Res ; 48(7): 1997-2004, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-35365933

RESUMEN

Cervical varices are a rare condition characterized by recurrent antepartum hemorrhage and less than 20 cases were reported in the literature. It is usually associated with placenta previa. We herein describe four cases of cervical varices without placenta previa. Meticulous speculum examination, ultrasonography with Doppler and colposcopy are essential for establishing the diagnosis and assessing the extent of the cervical varix. We propose to classify it as the apparent external os type or ultrasonography-based endocervical type. Most cases presented in the literature were delivered by cesarean section. Nevertheless, one of our cases was a successful vaginal delivery. Our case illustrates that vaginal delivery is possible in isolated cervical varices. More case reports are needed to have a better understanding of this rare entity.


Asunto(s)
Placenta Previa , Várices , Cuello del Útero/diagnóstico por imagen , Cesárea/efectos adversos , Femenino , Humanos , Placenta Previa/diagnóstico por imagen , Embarazo , Hemorragia Uterina/etiología , Várices/diagnóstico por imagen
2.
Diagnostics (Basel) ; 11(9)2021 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-34573918

RESUMEN

Microcephaly and microphthalmia are both rare congenital abnormalities, while concurrently, these two are even rarer. The underlying etiology would be complex interplaying between heterogeneous genetic background and the environmental pathogens, particularly during critical periods of early tissue development. Here, we reported a prenatal case with microcephaly, microphthalmia, and bilateral cataracts detected by ultrasonography and confirmed by autopsy. Various routine infection-related tests and invasive genetic testing were negative. Whole genome sequencing of fetus and parents revealed OCLN gene defects may be associated with these multiple congenital abnormalities.

3.
J Matern Fetal Neonatal Med ; 28(12): 1476-81, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25163523

RESUMEN

OBJECTIVE: To assess whether angle of progression (AOP) and head-perineum distance (HPD) measured by intrapartum transperineal ultrasound (ITU) correlate with clinical fetal head station (station); and whether AOP versus HPD varies during uterine contraction and relaxation. In a subset of primiparous women, whether these ITU parameters correlate with time to normal spontaneous delivery (TD). METHODS: We evaluated prospectively 100 primiparous and multiparous women at term in active labor. Transabdominal and transperineal ultrasound (sagittal and transverse plane) were used to measure fetal head position and ITU parameters, respectively. Digitally palpated station and cervical dilatation were also noted. The results were compared using regression and correlation coefficients. RESULTS: Station was moderately correlated with AOP (r = 0.579) and HPD (r = -0.497). AOP was highly correlated with HPD during uterine contraction (r = -0.703) and relaxation (r = -0.647). In the subgroup of primiparous women, natural log of TD has the highest correlation with HPD and AOP during uterine contraction (r = 0.742), making prediction of TD similar to that of using cervical dilatation. CONCLUSION: ITU parameters were moderately correlated with station. There was constant high correlation between AOP and HPD. Prediction of TD in primiparous women using ITU parameters was similar to that of using cervical dilatation.


Asunto(s)
Parto Obstétrico/métodos , Cabeza/embriología , Trabajo de Parto/fisiología , Perineo/diagnóstico por imagen , Femenino , Feto , Humanos , Primer Periodo del Trabajo de Parto/fisiología , Palpación , Embarazo , Factores de Tiempo , Ultrasonografía
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