SonographyPub Date : 2023-11-27DOI: 10.1002/sono.12388
Şükran Doğru, Fatih Akkuş, Huriye Ezveci, Ülfet Sena Meti̇n, K. Gezginc
{"title":"Omphalocele and gastroschisis: An analysis of prenatal diagnosis and neonatal outcomes","authors":"Şükran Doğru, Fatih Akkuş, Huriye Ezveci, Ülfet Sena Meti̇n, K. Gezginc","doi":"10.1002/sono.12388","DOIUrl":"https://doi.org/10.1002/sono.12388","url":null,"abstract":"Omphalocele and gastroschisis are the most frequent congenital developmental abdominal wall defects. Prenatal diagnosis of omphalocele and gastroschisis is critical in the management of the pregnancy, affording patients the option of termination. This study aims to evaluate the prenatal diagnosis and postnatal outcomes of omphalocele and gastroschisis cases.The cases of gastroschisis and omphalocele diagnosed prenatally and followed up at our university were evaluated retrospectively between January 2019 and January 2022. Maternal demographic and clinical characteristics and perinatal outcomes were compared between the cases.This study evaluated 42 omphalocele and nine gastroschisis cases. All gastroschisis cases were isolated (p = .001). Additional anomalies were present in 61.9% of omphalocele cases. While two patients with gastroschisis refused the invasive procedure, the genetic results of the others were normal. The karyotype was abnormal in 42.9% of omphalocele cases (p = .008). Half of the omphalocele cases were terminated, and 38.1% (n = 8) of the terminated omphalocele cases were trisomy 18. The coexistence of multiple system anomalies and cystic hygroma was high in the terminated cases. In all cases of gastroschisis, only the intestines protruded from the abdominal wall into the amniotic fluid. The number of survivors of omphalocele was 23.8%. The median hospital stay was 25 and 14 days for gastroschisis and omphalocele, respectively.Prenatal diagnosis of omphalocele and gastroschisis is critical in pregnancy management. The presence of associated anomalies determines the prognosis of omphalocele and gastroschisis.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"68 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139230135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SonographyPub Date : 2023-11-22DOI: 10.1002/sono.12389
Teal Derboghossian, Samantha Hill, Samantha Peden, Tony Lightfoot
{"title":"Intravascular lobular capillary haemangioma of the external jugular vein","authors":"Teal Derboghossian, Samantha Hill, Samantha Peden, Tony Lightfoot","doi":"10.1002/sono.12389","DOIUrl":"https://doi.org/10.1002/sono.12389","url":null,"abstract":"A case of non‐thrombotic intravascular pathology of the external jugular vein. The patient presented with a 5‐week history of a pain‐less lump on the right side of the neck. There was no history of trauma or associated signs or symptoms. Ultrasound imaging showed an intravenous mass that was excised and histopathologically diagnosed as an intravascular lobular capillary haemangioma (IVLCH). The rare tumour most commonly effects the neck, face, and upper extremities. Ultrasound is often the first‐line imaging in such cases, and IVLCH should be considered in the differential under specific circumstances.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"540 ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139249010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SonographyPub Date : 2023-11-20DOI: 10.1002/sono.12386
Enes Gul, Bulent Yildiz, Irfan Atik, Ozlem Sahin
{"title":"Subclinical atherosclerosis in fibromyalgia syndrome","authors":"Enes Gul, Bulent Yildiz, Irfan Atik, Ozlem Sahin","doi":"10.1002/sono.12386","DOIUrl":"https://doi.org/10.1002/sono.12386","url":null,"abstract":"Fibromyalgia syndrome (FMS) is a chronic disease of unknown pathophysiology in which inflammatory markers are not increased. The risk of cardiovascular disease is known to be raised in FMS. Determination of carotid intima‐media thickness (CIMT) is essential for the early detection of cardiovascular disease risk. In this study, we aimed to investigate how FMS affects CIMT and its relationship with disease duration.This study was planned prospectively and included 20 female FMS patients and 20 healthy female controls. Detailed medical histories were obtained. Persons with a known chronic disease (diabetes mellitus, hypertension, thyroid function disorder, rheumatic disease, etc.), known atherosclerotic condition, body mass index >30 and smokers were excluded. Laboratory values of FMS patients and the control group in the last 3 months were recorded. The patients' and control groups' right and left common carotid arteries were imaged with ultrasonography.There was no significant difference in laboratory values (although creatinine was different, it was within the normal range in both groups). The mean right common carotid artery intima‐media thickness was 0.5 (±0.07) mm in the patient group and 0.43 (±0.05) mm in the control group (p = .005). The mean left common carotid artery intima‐media thickness was 0.5 (±0.06) mm in the patient group and 0.43 (±0.05) mm in the control group (p = .001). Carotid intima‐media thickness values were significantly higher in the patient group than in the control group.Although FMS is not an inflammatory disease, it causes endothelial dysfunction and atherosclerosis.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"7 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SonographyPub Date : 2023-11-08DOI: 10.1002/sono.12383
Joao Leote, Margarida Aguiar, Hugo Alexandre Ferreira
{"title":"Ultrasonography during bronchoalveolar lavage of lung cavities","authors":"Joao Leote, Margarida Aguiar, Hugo Alexandre Ferreira","doi":"10.1002/sono.12383","DOIUrl":"https://doi.org/10.1002/sono.12383","url":null,"abstract":"The authors have nothing to declare.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135392531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retroperitoneal Ewing's sarcoma in a woman with advanced breast cancer delineated by contrast‐enhanced ultrasound: A case report","authors":"Haiyu Luo, Yongqian Mo, Lizhang Zhu, Haiqin Xie, Desheng Sun, Jieyu Zhong, Zhengming Hu","doi":"10.1002/sono.12379","DOIUrl":"https://doi.org/10.1002/sono.12379","url":null,"abstract":"Abstract Extraosseous Ewing's sarcoma is a malignant mesenchymal tumor much rarer than skeletal Ewing's sarcoma. The synchronous or metachronous occurrence of advanced breast cancer with retroperitoneal Ewing's sarcoma is extremely rare. To date, only a few cases of extraosseous Ewing's sarcoma with contrast‐enhanced ultrasound findings have been reported. This study aims to report a case of a retroperitoneal Ewing's sarcoma in a 39‐year‐old woman with advanced breast cancer, where grayscale ultrasound, contrast‐enhanced ultrasound, and computed tomography findings were included. To our knowledge, this is the first reported case of ultrasound and contrast‐enhanced ultrasonography manifestation of retroperitoneal Ewing's sarcoma as a second primary tumor.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"293 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136158860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SonographyPub Date : 2023-10-26DOI: 10.1002/sono.12382
Richard P. Allwood
{"title":"Undiagnosed cardiomyopathy: An incidental finding in a recreational soccer player—A case report and literature review","authors":"Richard P. Allwood","doi":"10.1002/sono.12382","DOIUrl":"https://doi.org/10.1002/sono.12382","url":null,"abstract":"Abstract Introduction Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a genetic disease characterised by progressive fibrofatty tissue replacement of the myocardium. Several arrhythmogenic cardiomyopathy (ACM) phenotypes are now recognised, including right‐dominant, biventricular, and left‐dominant variants, which led to the development of the 2020 International criteria (Padua criteria). Raising awareness of these variants is crucial as their clinical entity can be concealed. This is particularly important in the athletic population. Exercise can promote the development of the phenotype and accelerate disease progression, resulting in left ventricular (LV) involvement and systolic dysfunction, which can cause ventricular arrhythmias and sudden death. Case Description A late adolescent male was escorted by paramedics to an emergency department following a medium‐speed motor vehicle accident. A multimodality approach was implemented involving a 12‐lead electrocardiogram (ECG), transthoracic echocardiography (ECHO) and cardiac magnetic resonance (CMR) imaging. An unknown cardiomyopathy was revealed with diagnostic clues suggesting biventricular ACM in a recreational soccer player, when using the Padua criteria. Conclusion ACM should be considered in the evaluation of an unexplained cardiomyopathy presenting with possible syncopal events. This case describes the clinical features of an ACM patient, emphasising the utility of ECG, ECHO and CMR in determining biventricular involvement. CMR is a powerful tool for the diagnosis of ACM and the identification of myocardial fibrosis with late gadolinium enhancement (LGE). The use of 12‐lead ECG and 2‐dimensional (2D) strain imaging may also raise suspicion of biventricular phenotypes and predict LV involvement with significant myocardial fibrosis.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"448 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134908882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Superior vena cava and tricuspid valve tumoral thrombosis in a 54‐year‐old female with metastatic colorectal adenocarcinoma: <scp>A</scp> rare case report","authors":"Soroush Mostafavi, Maryam Nabati, Laleh Vahedi Larijani, Homa Parsaee, Homina Saffar","doi":"10.1002/sono.12381","DOIUrl":"https://doi.org/10.1002/sono.12381","url":null,"abstract":"Video S1. For Figure 2. Video S2. For Figure 3. Video S3. For Figure 4. Video S4. For Figure 5. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135570002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SonographyPub Date : 2023-10-19DOI: 10.1002/sono.12380
Amy Maree Clark, Liza Thomas, Anita Boyd
{"title":"A case of <scp>COVID</scp>‐19 masquerading as presumed Trastuzamab induced subclinical cardiotoxicity","authors":"Amy Maree Clark, Liza Thomas, Anita Boyd","doi":"10.1002/sono.12380","DOIUrl":"https://doi.org/10.1002/sono.12380","url":null,"abstract":"The ongoing Coronavirus disease 2019 (COVID-19) global pandemic has resulted in over 6 million deaths worldwide.1 In addition to primary acute respiratory symptoms, COVID-19 has been demonstrated to have multisystem involvement.2 Cardiovascular system manifestations include thrombosis, acute coronary syndrome, arrhythmias, myocarditis, and evidence of subclinical myocardial dysfunction, with increased risk of mortality observed following myocardial injury.3 Cardiac magnetic resonance (CMR) imaging provides the highest diagnostic accuracy for acute myocarditis, however speckle tracking echocardiography (STE) derived strain analysis offers a more pragmatic alternative. STE examination has demonstrated reversible sub-clinical myocardial impairment of patients with only mild/moderate COVID-19 symptoms.4 This case describes a patient who suffered myocardial impairment following COVID-19 infection, whilst undergoing adjuvant chemotherapy for breast cancer. Current guidelines recommend cardioprotective therapy with potential cessation of chemotherapy if significant myocardial impairment is observed during treatment.5 A 48-year-old woman was diagnosed with right sided Grade 2 invasive breast carcinoma, no special type (NST), oestrogen receptor/progesterone receptor (ER/PR) negative and human epidermal growth factor receptor 2 (HER2) positive, in April 2021. She had received adjuvant chemotherapy with 4 cycles of anthracycline, 12 cycles of Paclitaxel, and 2 cycles of Trastuzamab chemotherapies, to be followed by bilateral mastectomy, adjuvant radiation, and on-going Trastuzumab. Prior to the initiation of chemotherapy (May, 2021), a transthoracic echocardiogram (TTE) demonstrated normal left ventricular (LV) systolic function, with left ventricular ejection fraction (LVEF) of 64% with a global longitudinal strain (GLS) of −21.8% (Figure 1A). She had routine cardiac surveillance as is clinical practice at our centre with a repeat TTE (August, 2021) after anthracycline therapy and prior to commencement of Trastuzamab (Figure 1B). This demonstrated LVEF of 59% with GLS of −19.9% (9% relative reduction and 1.9% absolute reduction in GLS compared to baseline). As is standard of care, a TTE is performed at 3 monthly intervals after commencement of Trastuzumab. Her next routine 3 monthly TTE (November 2021) demonstrated a further reduction in LVEF to 56% and GLS of −17.9% (relative reduction of 17.9% and absolute reduction of 3.9%) triggering review by a cardiologist (Figure 1C). There was no significant change in blood pressure, heart rate, LV volumes, LA volume or E/e' over this period. At cardiologist review, the patient reported no cardiovascular symptoms, in particular no dyspnoea, fatigue, or pedal oedema. She mentioned that she had COVID-19 infection (although having been vaccinated prior (×2 doses) in late September 2021) and had mild—moderate symptoms of dyspnoea and fatigue for approximately 3 weeks. She denied any chest pain or palpitations, she did ","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135730561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SonographyPub Date : 2023-10-05DOI: 10.1002/sono.12377
Richard P. Allwood
{"title":"Evolving deformation patterns in a competitive swimmer with low <scp>QRS</scp> voltages on 12‐lead electrocardiogram","authors":"Richard P. Allwood","doi":"10.1002/sono.12377","DOIUrl":"https://doi.org/10.1002/sono.12377","url":null,"abstract":"The author declares no conflict of interest. VIDEO S1. Echo PLAX LV. VIDEO S2. CMR horizontal long axis 3ch. VIDEO S3. CMR horizontal long axis 4ch. VIDEO S4. Echo apical 4ch. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134975872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SonographyPub Date : 2023-10-04DOI: 10.1002/sono.12378
Patrick Sepúlveda Barisich, Anita Soraya Irarrazaval Trigo, Adrián Gallardo
{"title":"Metastatic testicular cancer presenting with dyspnoea: A case report on the utility of lung ultrasound in the emergency department","authors":"Patrick Sepúlveda Barisich, Anita Soraya Irarrazaval Trigo, Adrián Gallardo","doi":"10.1002/sono.12378","DOIUrl":"https://doi.org/10.1002/sono.12378","url":null,"abstract":"None.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135591379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}