Case Reports in Perinatal Medicine最新文献_第10页

Survival of both twins in a pregnancy complicated by pre-viable cord prolapse at 21 weeks of gestation 在怀孕21周时，双胞胎因脐带脱垂并发症的存活情况

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Case Reports in Perinatal Medicine Pub Date : 2020-04-01 DOI: 10.1515/CRPM-2019-0060

Alnoman Abdullah, A. Ghazi, BrownD. Richard

引用次数: 1

Ultrasound diagnosis of myelomeningocele: the role of 3D ultrasonography in determining surficial status of the pathological lesion 脊髓脊膜膨出的超声诊断:三维超声在确定病理病变表面状态中的作用

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Case Reports in Perinatal Medicine Pub Date : 2020-01-01 DOI: 10.1515/crpm-2018-0065

A. Kurasaki, J. Hasegawa, C. Homma, A. Miura, H. Kondo, N. Suzuki

引用次数: 0

Monoamniotic twins pregnancy complicated by a fetal congenital heart defect – a challenge for perinatal decisions 单羊膜双胞胎妊娠合并胎儿先天性心脏缺陷-围产期决定的挑战

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Case Reports in Perinatal Medicine Pub Date : 2020-01-01 DOI: 10.1515/crpm-2020-0022

M. Pasieczna, Joanna Kuran-Ohde, A. Kajdy, D. Filipecka-Tyczka, Natalia Świątek, J. Szymkiewicz-Dangel

{"title":"Monoamniotic twins pregnancy complicated by a fetal congenital heart defect – a challenge for perinatal decisions","authors":"M. Pasieczna, Joanna Kuran-Ohde, A. Kajdy, D. Filipecka-Tyczka, Natalia Świątek, J. Szymkiewicz-Dangel","doi":"10.1515/crpm-2020-0022","DOIUrl":"https://doi.org/10.1515/crpm-2020-0022","url":null,"abstract":"Abstract Objectives To analyze pregnancy management and postnatal follow-up in monochorionic monoamniotic (MCMA) pregnancies complicated by a congenital heart defect (CHD) in one twin and to compare the results with current recommendations concerning time and mode of delivery in MCMA pregnancies. Cases presentation Perinatal medical records of five pairs of monoamniotic twins referred to Fetal Cardiology Department were analyzed. 5 out of 23 MCMA pregnancies (21.7%) were complicated by CHD in one fetus. Cesarean section (CS) was performed between 32 and 35 weeks of gestation (WoG). 9 out of 10 neonates had respiratory failure, including all patients with CHD. Twins without congenital abnormalities spent median 21 days (range 10–40 days) in neonatal units. Patients with CHD were transferred to cardiology departments on average 6th day of life. All were operated on later than term-born neonates, 4 out of 5 required stage surgery and their median stay in the hospital was 75 days (range 48–106 days). Conclusions According to current recommendations, delivery in MCMA pregnancies should be scheduled at 32–34 weeks. In cases complicated by CHD in one twin, such early delivery complicates surgical treatment and may affect the final outcome. Low body weight and respiratory disorders increase the risk of complications in the perioperative period and prolong hospitalization.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"31 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84420568","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}

引用次数: 1

Transmission of SARS-CoV-2 to premature twins from an asymptomatic mother 无症状母亲对早产双胞胎的SARS-CoV-2传播

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Case Reports in Perinatal Medicine Pub Date : 2020-01-01 DOI: 10.1515/crpm-2020-0064

P. Gaunt, I. Ahmed, R. Geethanath, M. Abu-Harb, C. Onwuneme

引用次数: 0

Management in cases of large uterine myomas in pregnancy 妊娠期大子宫肌瘤的处理

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Case Reports in Perinatal Medicine Pub Date : 2020-01-01 DOI: 10.1515/crpm-2019-0059

A. Stupak, M. Bobiński, Andrzej Miturski, Barbara Kalbarczyk, A. Kwaśniewska, J. Kotarski

引用次数: 1

Neonatal hypertension caused by left-to-right shunt flow through a patent ductus arteriosus in a premature infant 早产儿动脉导管未闭左向右分流引起的新生儿高血压

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Case Reports in Perinatal Medicine Pub Date : 2020-01-01 DOI: 10.1515/crpm-2020-0007

Sung-Ha Kim, Eujin Park, S. Hwang, T. Sung

{"title":"Neonatal hypertension caused by left-to-right shunt flow through a patent ductus arteriosus in a premature infant","authors":"Sung-Ha Kim, Eujin Park, S. Hwang, T. Sung","doi":"10.1515/crpm-2020-0007","DOIUrl":"https://doi.org/10.1515/crpm-2020-0007","url":null,"abstract":"Abstract Objectives Though it is rare and challenging to study, neonatal hypertension (HTN) has been explored and studied by many pediatricians. There were some causes reported in preterm infants such as renal diseases and bronchopulmonary dysplasia. Case presentation We report a premature female infant who was born at a gestational age of 25 + 6 weeks and developed systemic hypertension on the day of a gestation age of 30 + 3 weeks. This case had a rare cause which involved high-normal serum aldosterone level that could possibly indicate hyperaldosteronism and over-stimulation of renin–angiotensin–aldosterone system (RAAS). We believe elevation of serum aldosterone was caused by a left-to-right shunt flow through a patent ductus arteriosus. Hypertension due to a patent ductus arteriosus sounds like a paradox. However, in our case, the shunt flow was shown to be a possible cause of the systemic hypertension. Surgical closure of the shunt was done and the hypertension resolved. We evaluated serum aldosterone levels and plasma renin activities both, before and after the closure to look for a possible cause. Conclusions Neonatologist often treats systemic hypertensive infants considering possible causes in order to prevent hypertensive crisis. Our case shows that possibility of hyperaldosteronism and (RAAS) over-stimulation should be considered as causes in case of severe systemic hypertension in preterm infants with large left-to-right shunt flows.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"17 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81804568","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}

引用次数: 0

Giant congenital vascular malformation: diagnostic approach and clinical course 巨大的先天性血管畸形:诊断方法和临床过程

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Case Reports in Perinatal Medicine Pub Date : 2020-01-01 DOI: 10.1515/crpm-2020-0014

Natasha Mense-Dietrich, V. Mugarab-Samedi, K. Kalaniti

引用次数: 0

Recurrent neonatal group B streptococcus cellulitis and adenitis syndrome with late-onset sepsis 复发性新生儿B组链球菌蜂窝织炎和腺炎综合征伴迟发性败血症

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Case Reports in Perinatal Medicine Pub Date : 2020-01-01 DOI: 10.1515/crpm-2020-0019

A. Guri, E. Scheier, U. Balla, Mikhael Chigrinsky, Eli Shapiro

{"title":"Recurrent neonatal group B streptococcus cellulitis and adenitis syndrome with late-onset sepsis","authors":"A. Guri, E. Scheier, U. Balla, Mikhael Chigrinsky, Eli Shapiro","doi":"10.1515/crpm-2020-0019","DOIUrl":"https://doi.org/10.1515/crpm-2020-0019","url":null,"abstract":"Abstract Objectives Group-B streptococcus (GBS) continues to be a significant cause of late-onset neonatal illness. Rarely does it present as cellulitis-adenitis syndrome, and rarely does the infection recur in the same infant after complete recovery. Case presentation Here we report a case of recurrent late-onset cellulitis-adenitis GBS syndrome in a term 12-day-old neonate. The infant presented with fever and cellulitis of the right neck. Full sepsis workup was normal and the infant recovered completely with antibiotics. Three days after the completion of antibiotics the patient returned to the emergency department due to fever, toxic appearance and rapidly spreading cellulitis, and adenitis on the left side of the neck. Blood culture revealed GBS. The patient was re-admitted to the hospital and successfully treated with a prolonged course of antibiotics. Conclusions This case highlights the importance of treating neonatal cellulitis with fever as bacteremia, and reminds us of the rare possibility of recurrent invasive GBS disease. Moreover, this case illustrates that GBS cellulitis-adenitis syndrome is possibly underdiagnosed in mild cases. Physicians should be aware that neonatal cellulitis can precede the appearance of severe sepsis. Neonates with fever and cellulitis without a clear external port of entry should undergo a complete sepsis workup and receive antibiotic treatment appropriate for bacteremia, even if the blood cultures are negative. Although the recurrence of GBS sepsis is rare, physicians should be aware of this possibility in order to treat the infection early.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"83 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88108583","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}

引用次数: 0

Septated fetal bladder in a case of 2q13 deletion 2q13缺失1例胎儿膀胱分离

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Case Reports in Perinatal Medicine Pub Date : 2020-01-01 DOI: 10.1515/crpm-2020-0026

María Montenegro del Moral, Gonzalez Isabel, A. I. Padilla Pérez, Margarita Álvarez-de-la-Rosa Rodríguez

引用次数: 0

Agnathia-otocephaly complex: a case report and a literature review on recurrence risk 畸形-耳头畸形复合体1例报告及复发风险的文献复习

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Case Reports in Perinatal Medicine Pub Date : 2020-01-01 DOI: 10.1515/crpm-2020-0041

Lievelijn Vanhees, E. Denayer, A. Thaens, S. Fransis, M. Van Hoestenberghe

{"title":"Agnathia-otocephaly complex: a case report and a literature review on recurrence risk","authors":"Lievelijn Vanhees, E. Denayer, A. Thaens, S. Fransis, M. Van Hoestenberghe","doi":"10.1515/crpm-2020-0041","DOIUrl":"https://doi.org/10.1515/crpm-2020-0041","url":null,"abstract":"Abstract Objectives Agnathia-otocephaly complex (AOC) is an extremely rare, lethal disorder causing obstruction of the upper airway at birth due to absence of the mandible and hypoplasia of the oral cavity. Implications for future pregnancies need to be elucidated by parental counselling, as recurrence of AOC or associated comorbidities are possible. Very little is known on this subject, because of the rarity of the disorder and scarce data on genetic causes of this complex. The objectives of this study were to determine the recurrence risk and mode of inheritance for AOC based on current literature. Contents Recurrence of AOC or associated comorbidities within the family of an index case was reported in eight articles, describing 7 and 27 relatives, respectively. There were eight AOC cases in which the genetic cause was known. Mutations in 2 genes, orthodenticle homeobox 2 (OTX2) and paired related homeobox 1 (PRRX1), have been described. Due to its mainly sporadic appearance, recurrence risk is low. Counselling on recurrence risk is difficult, because of a broad heterogeneity with complex inheritance patterns and variability in phenotypic expression. Outlook Chromosomal analysis and exome sequencing in children with AOC will help unravel current aetiological uncertainties and could help in further reproductive decisions. We emphasize the need for timely diagnosis through ultrasound, providing parents with the opportunity to receive multidisciplinary counselling, giving them the chance to contemplate their management decisions.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"358 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76375847","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}

引用次数: 1