170 results
Article
True umbilical cord knot
True umbilical cord knots are a rare occurrence and as the name suggests represent a knot formation in the umbilical cord.
Epidemiology
They occur in less than 1% of pregnancies.
Pathology
Risk factors
a long umbilical cord
polyhydramnios
small fetus
excessive fetal movements
Radiograph...
Article
Hematosalpinx
A hematosalpinx refers to intraluminal blood within the fallopian tube (often dilated).
Pathology
Etiology
tubal ectopic pregnancy: common cause 1
endometriosis: common cause 5
tubal carcinoma
pelvic inflammatory disease
fallopian tube torsion
retrograde menstruation
uterine cervical s...
Article
Circumvallate placenta
Circumvallate placenta refers to a variation in placental morphology in which, as a result of a small chorionic plate, the amnion and chorion fetal membranes ‘double back’ around the edge of the placenta.
Epidemiology
The prevalence is estimated to be around 1-7% 3.
Pathology
There is an inw...
Article
Chorionic bump
Chorionic bump is a finding that can be uncommonly seen in a first-trimester scan. It may represent a small hematoma bulging into the gestational sac or an anembryonic (failed) second pregnancy that is being resorbed. It is also seen in some patients undergoing infertility treatment.
Epidemiolo...
Article
Threatened miscarriage
Threatened miscarriage (or threatened abortion) is mainly a clinical term, used when a pregnant woman in first 20 weeks of gestation presents with spotting, mild abdominal pain and contractions, with a closed cervical os 3.
Epidemiology
It occurs in 20-25% of pregnancies and is associated with...
Article
Nuchal translucency
Nuchal translucency is the normal fluid-filled subcutaneous space identified at the back of the fetal neck during the late first trimester and early second trimester (11 weeks 3 days to 13 weeks 6 days).
It should not be confused with the nuchal fold, which is seen in the second trimester.
P...
Article
Fetal middle cerebral arterial Doppler assessment
Fetal middle cerebral arterial (MCA) Doppler assessment is an important part of assessing fetal cardiovascular distress, fetal anemia or fetal hypoxia. In the appropriate situation it is a very useful adjunct to umbilical artery Doppler assessment. It is also used in the additional work up of:
...
Article
Corpus luteal cyst rupture
Ruptured corpus luteal cysts are one of the commonest causes of spontaneous hemoperitoneum in a woman of reproductive age.
Clinical presentation
Presentation is variable, ranging from completely asymptomatic to severe abdominal pain due to peritoneal irritation.
Pathology
The corpus luteum i...
Article
Achondrogenesis
Achondrogenesis refers to a group of rare and extreme skeletal dysplasias.
Epidemiology
The estimated incidence is 1:40,000, with no recognized gender predilection.
Pathology
It is classified as an osteochondrodysplasia, meaning deficiency of both bone and cartilage development. The conditio...
Article
Placental abruption
Placental abruption (or abruptio placentae) refers to a premature separation of the normally implanted placenta after the 20th week of gestation and before the 3rd stage of labor. It is a potentially fatal complication of pregnancy and a significant cause of third-trimester bleeding/antepartum h...
Article
Fetal clenched hands
Fetal clenched hands are an antenatal ultrasound observation where the fetal hands are in a constant (permanently) clenched position as if being unable to extend.
Epidemiology
Associations
Several syndromic conditions are associated with this observation including:
aneuploidic
Edwards syndr...
Article
Nuchal cord
Nuchal cord is a term given to the situation where there are one or more loops of umbilical cord wrapped around the fetal neck for ≥360°.
Epidemiology
The prevalence is dependent on the extent of coiling and ranges from ~25% for a single loop, to 2.5% for a double loop, to ~0.5% for more than ...
Article
Chorioamnionitis
Chorioamnionitis refers to infection of the chorion and amnion during pregnancy.
Epidemiology
Chorioamnionitis affects an estimated 2-4% of term deliveries and 40-70% of preterm deliveries 1.
Clinical presentation
Clinically, chorioamnionitis can present with the following maternal signs and...
Article
Renal agenesis
Renal agenesis refers to a congenital absence of one or both kidneys. If bilateral (traditionally known as the classic Potter syndrome) the condition is fatal, whereas if unilateral, patients can have a normal life expectancy.
Epidemiology
Unilateral renal agenesis affects approximately 1 in ...
Article
Ventricular septal defect
Ventricular septal defects (VSD) represent a hole or pathway in the interventricular septum that allows for communication between the right and left ventricles. It typically results in a left-to-right shunt.
Epidemiology
They represent one of the most common congenital cardiac anomalies and ma...
Article
Monochorionic monoamniotic twin pregnancy
A monochorionic monoamniotic (MCMA) twin pregnancy is a subtype of monozygotic twin pregnancy. These fetuses share a single chorionic sac, a single amniotic sac, and, in general, a single yolk sac.
Epidemiology
It accounts for the minority (~5%) of monozygotic twin pregnancies and ~1-2% of al...
Article
Uterine rupture
Uterine rupture is a rare but nevertheless potentially catastrophic complication that can occur in pregnancy.
Epidemiology
The incidence rate in pregnancy is 0.05% 6.
Clinical presentation
Uterine rupture is usually an acute presentation with hemodynamic instability and abdominal discomfo...
Article
Calcified yolk sac
A calcified yolk sac has been described as a sign of intrauterine demise. The cause of yolk sac calcification in failed pregnancies is uncertain but is likely related to dystrophic calcification.
Radiographic features
Ultrasound
abnormal increased echogenicity of the yolk sac with posterior a...
Article
Yolk sac
Yolk sac is the first anatomical structure identified within the gestational sac. It plays a critical role in embryonal development by providing nutrients, serving as the site of initial hematopoiesis, providing endocrine, metabolic and immunological functions and contributing to the development...
Article
Rocker bottom foot
A rocker bottom foot (also known as a congenital vertical talus) is a congenital anomaly of the foot. It is characterized by a prominent calcaneus/heel and a convexly rounded sole.
Pathology
It results from a dorsal and lateral dislocation of the talonavicular joint.
Associations
aneuploidic...
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