Case Reports in Perinatal Medicine最新文献_第6页

A new sonographic marker in the diagnosis of prenatal bilateral renal agenesis, segmental anterior deviation of the aorta. 产前双侧肾发育不全、主动脉节段性前偏的超声诊断新指标。

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-07-12 eCollection Date: 2022-01-01 DOI: 10.1515/crpm-2022-0001

Halis Özdemir, Belma Gözde Özdemir, Songül Yerlikaya Kavak, Şule Şık

引用次数: 0

Acute uterine inversion - A complication revisited; a case series and review of literature. 急性子宫内翻-并发症再遇；一个案例系列和文献综述。

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-06-27 eCollection Date: 2022-01-01 DOI: 10.1515/crpm-2020-0081

Amanjot Kaur, Beant Singh

{"title":"Acute uterine inversion - A complication revisited; a case series and review of literature.","authors":"Amanjot Kaur, Beant Singh","doi":"10.1515/crpm-2020-0081","DOIUrl":"10.1515/crpm-2020-0081","url":null,"abstract":"Objectives: The objective of this case series is to discuss the various presentations of acute uterine inversion and to discuss how these varied presentations can cause a diagnostic confusion. Differences in acute uterine inversion following a vaginal delivery and a cesarean section are also discussed along with the management of acute uterine inversion, emphasizing the need for a rapid diagnosis and management.Case presentation: Three such cases of acute uterine inversion - two after vaginal delivery (one second-degree inversion and one third degree inversion) and one during cesarean section have been discussed along with their management.Conclusions: Uterine inversion is a potentially life-threatening complication which can be prevented by active and careful management of third stage of labor and avoiding cord traction prior to development of the signs of placental separation. Early stages of uterine inversion may be confused with a prolapsed fibroid or a cervical polyp. Prompt management can avert maternal mortality and morbidity.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"64 1","pages":"20200081"},"PeriodicalIF":0.1,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85025348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physiological pulmonary assessments in the management of bilateral diaphragmatic eventration. 双侧膈疝脱出的生理肺评估。

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-06-27 eCollection Date: 2022-01-01 DOI: 10.1515/crpm-2021-0092

Fahad Arattu Thodika, Emma E Williams, Theodore Dassios, John Adu, Mahesh Nanjundappa, Christopher Harris, Anne Greenough

{"title":"Physiological pulmonary assessments in the management of bilateral diaphragmatic eventration.","authors":"Fahad Arattu Thodika, Emma E Williams, Theodore Dassios, John Adu, Mahesh Nanjundappa, Christopher Harris, Anne Greenough","doi":"10.1515/crpm-2021-0092","DOIUrl":"10.1515/crpm-2021-0092","url":null,"abstract":"Objectives: To describe the importance of comprehensive assessment to determine the underlying diagnosis and the role of physiological pulmonary measurements in the management of congenital bilateral eventration of the diaphragm.Case presentation: A female infant born at 34 weeks gestation required intubation and ventilation at birth. Chest radiographical imaging revealed bilateral density to the bases of both lung fields with raised hemi-diaphragms. Ultrasound imaging showed focal diaphragmatic eventration with bulging of the dome of the liver into the right and left hemithoraces. Assessment of the electrical activity of the diaphragm during a spontaneous breathing trial demonstrated a mean amplitude consistent with that of ventilated infants of the same gestational age with intact diaphragms. Hence she was extubated which was successful. Chest radiographic thoracic area measured post extubation was 1,654 mm2, equivalent to that of a term infant with severe congenital diaphragmatic hernia. As the electrical activity of the diaphragm was normal this suggests replacement of the diaphragmatic muscle tissue with fibrous bands was likely to be only partial, and hence why extubation was successful. She had other abnormalities presenting in the neonatal period including dermal melancytosis, central hypotonia, hyperinsulinism and poor feeding. The infant underwent extensive investigation which revealed a KMT2D gene mutation associated with Kabuki syndrome.Conclusions: Physiological pulmonary measurements may add clinical management in bilateratal diaphragmatic eventration.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"56 1","pages":"20210092"},"PeriodicalIF":0.1,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86815298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Extreme fetal macrosomia at 42 gestational weeks: a case report and literature review. 42孕周极端巨大儿1例报告并文献复习。

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-06-27 eCollection Date: 2022-01-01 DOI: 10.1515/crpm-2021-0042

Julia Kummer, Yvonne Callister, Anja Jebens, Valentin Mihajlov, Luisa Maria Pech, Lars Hellmeyer

{"title":"Extreme fetal macrosomia at 42 gestational weeks: a case report and literature review.","authors":"Julia Kummer, Yvonne Callister, Anja Jebens, Valentin Mihajlov, Luisa Maria Pech, Lars Hellmeyer","doi":"10.1515/crpm-2021-0042","DOIUrl":"10.1515/crpm-2021-0042","url":null,"abstract":"Objectives: Fetal macrosomia is a term to describe excessive fetal birth weight. Fetal macrosomia is strongly associated with adverse obstetrical outcome.Case presentation: We report a rare case of excessive neonatal weight in a medically unsupervised pregnancy and give a literature review on this significant subject. A 38 year-old woman (Gravida 8 Para 7) presented herself at 42 2/7 weeks of gestation at the labor ward. The pregnancy had not been supervised medically. Labor induction was initiated. Due to failure to progress and suspicion of a disproportion of the fetal head and maternal pelvis an urgent caesarean section was performed. A morbidly macrosomic male infant was delivered (birth weight: 6,760 g [>99. percentile], length: 60 cm [>99. percentile]).Conclusions: The morbidity for infants and women increases with a birth weight exceeding 4,500 g. Gestational diabetes mellitus, a high pre-pregnancy body mass index and excessive gestational weight gain have been independently associated as risk factors. The increase in pregnancies complicated by maternal obesity and gestational diabetes emphasizes the necessity of evidence-based clinical interventions to prevent or reduce these diseases. If prenatal care is not frequented by mothers-to-be there are no options open for obstetricians to detect fetal macrosomia and to intervene.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"99 1","pages":"20210042"},"PeriodicalIF":0.1,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90985341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prenatal diagnosis of Holt-Oram syndrome. Holt-Oram综合征的产前诊断。

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-06-16 eCollection Date: 2022-01-01 DOI: 10.1515/crpm-2021-0058

Virginia Foreste, Carla Riccardi, Brunella Zizolfi, Alessandra Gallo, Attilio Di Spiezio Sardo

引用次数: 0

Hemothorax after fetal pleural effusion-thoracoamniotic shunting procedure due to transient myeloproliferative disorder. 胎儿胸腔积液-胸羊膜分流术后因短暂性骨髓增殖性疾病引起的血胸。

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-06-11 eCollection Date: 2022-01-01 DOI: 10.1515/crpm-2021-0032

Yuriko Iwahata, Hideyuki Iwahata, Junichi Hasegawa, Chika Homma, Yoko Nishimura, Haruhiro Kondo, Nao Suzuki

引用次数: 0

Multimodal postpartum imaging of a severe case of Couvelaire uterus. 一例严重库弗勒子宫的产后多模态成像。

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-06-07 eCollection Date: 2022-01-01 DOI: 10.1515/crpm-2021-0013

Josef Jackson, Verghese George, Jennifer McKinney, Karin A Fox

{"title":"Multimodal postpartum imaging of a severe case of Couvelaire uterus.","authors":"Josef Jackson, Verghese George, Jennifer McKinney, Karin A Fox","doi":"10.1515/crpm-2021-0013","DOIUrl":"10.1515/crpm-2021-0013","url":null,"abstract":"Objectives: Placental abruption occurs when a normally implanted placenta prematurely separates, causing rupture of decidual spiral arteries and retroplacental hemorrhage. Estimates place the incidence of placental abruption somewhere between 0.22% and 1% of all deliveries. Clinical abruption represents a spectrum from mild to the most severe form, in which blood can extravasate into or through the myometrium, the broad ligament, or the peritoneum, causing the uterus and surrounding structures to take on a blue discoloration. This phenomenon is a clinical entity known as Couvelaire uterus, so named because it was first described by French physician Alexandre Couvelaire in the early 20th century as \"uteroplacental apoplexy.\" Its incidence is difficult to estimate because it has classically been diagnosed only by direct intraoperative visualization. Imaging is not usually indicated in this clinical setting, so radiologic correlation with operative findings has not been previously described.Case presentation: In this report, we discuss the case of a multipara who presented with abdominal pain and vaginal discharge several days after a classical cesarean delivery. Her prolonged and complex clinical course led to evaluation via several radiologic modalities. At first, a focal placenta accreta or retained products of conception were suspected, however these diagnoses did not correlate with the patient's reported intraoperative findings of a clean endometrial cavity or with histopathology that was consistent with massive abruption.Conclusions: The clinical presentation and features identified on multimodal imaging were ultimately most consistent with the patient's intraoperative diagnosis of Couvelaire uterus.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"11 1","pages":"20210013"},"PeriodicalIF":0.1,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40624048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute glycogenic hepatopathy in pregnancy: a case report and literature review. 妊娠期急性糖原性肝病1例报告并文献复习。

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-06-04 eCollection Date: 2022-01-01 DOI: 10.1515/crpm-2021-0065

Omar Abuzeid, Mia Heiligenstein, Lama Noureddine, Cassandra Heiselman, James Bernasko

引用次数: 0

An unusual case of the congenital mesenchymal hamartoma of the neck associated with the midline cervical cleft in neonate. 新生儿颈中线裂合并颈部先天性间质错构瘤的罕见病例。

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-06-02 eCollection Date: 2022-01-01 DOI: 10.1515/crpm-2021-0094

Ida Nađ, Dorotea Šijak, Sonja Anić Jurica, Antonia Jakovčević

{"title":"An unusual case of the congenital mesenchymal hamartoma of the neck associated with the midline cervical cleft in neonate.","authors":"Ida Nađ, Dorotea Šijak, Sonja Anić Jurica, Antonia Jakovčević","doi":"10.1515/crpm-2021-0094","DOIUrl":"10.1515/crpm-2021-0094","url":null,"abstract":"Objectives: Hamartomas are non-neoplastic developmental anomalies, mostly congenital, characterized by uncontrolled, disorganized proliferation of local endogenous tissue, which can normally be found at the site of origin and are very often mesodermally derived. It is well known that hamartoma can be associated with congenital midline cervical cleft and therefore cause a variety of symptoms. In general, they are benign and indolent, but they can be the cause of complex morbidity if they are localized within specific regions, such as the head and neck, which represent highly sensitive and vulnerable areas.Case presentation: The reported case is unusual because of the presence of a congenital mesenchymal hamartoma along with the median cervical cleft, in a 1-day-old neonate, without the presence of any respiratory symptoms or associated congenital features. Although extremely rare, hamartomas should be included in the differential diagnosis of congenital neck masses, with emphasis on diagnostic approach, to avoid overly aggressive treatment and possible complications, such as infection, further mass growth, malignant transformation and compression of the adjacent neck structures.Conclusions: Appropriate and timely treatment of the hamartoma of the neck in neonates, with further follow-up is necessary to avoid an overly aggressive treatment and to distinguish benign from malignant lesions, which is necessary for successful curative outcome.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"113 1","pages":"20210094"},"PeriodicalIF":0.1,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76807650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Umbilical artery aneurysm without aneuploidy and delivery of a live neonate. 无非整倍体的脐动脉瘤和新生儿的活产。

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-05-27 eCollection Date: 2022-01-01 DOI: 10.1515/crpm-2021-0091

Gregory K Lewis, Josette C Dawkins, Xiangna Tang

{"title":"Umbilical artery aneurysm without aneuploidy and delivery of a live neonate.","authors":"Gregory K Lewis, Josette C Dawkins, Xiangna Tang","doi":"10.1515/crpm-2021-0091","DOIUrl":"10.1515/crpm-2021-0091","url":null,"abstract":"Objectives: Umbilical artery aneurysm, a rare structural anomaly of the umbilical cord, is frequently associated with fetal aneuploidy, fetal growth restriction and fetal demise. At present there are no definitive protocols or guidelines for the surveillance and management of this condition.Case presentation: The index case is an 18-year-old primigravida who had an ultrasound at 35 weeks and 5 days gestation due to lagging symphysio-fundal height measurement. The ultrasound scan revealed a normal fetus with estimated fetal weight that was appropriate for gestational age. There was a cystic structure with internal echoes originating from the placenta at the point of the umbilical cord insertion, which was determined to be a 1.9 × 1.8 cm umbilical artery aneurysm on 3D and Doppler imaging. On follow up imaging the aneurysm had increased in size and measured 3.06 × 1.79 cm. The patient subsequently had a cesarean section delivery of a live female. Karyotyping subsequently revealed 46 XX.Conclusions: A total of 15 cases of umbilical artery aneurysm have been reported in the literature to date, of which there were 5 live born infants with normal karyotype. The remaining 10 cases were intra-uterine fetal demise or trisomy 18 with subsequent neonatal deaths. When monitoring the aneurysms with ultrasound, change in size and Doppler indices play a pivotal role in helping to determine time and mode of delivery and thus allow for a favorable perinatal outcome.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"44 1","pages":"20210091"},"PeriodicalIF":0.1,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75284510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0