Articles

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More than 200 results
Article

Placenta previa

Placenta previa refers to an abnormally low lying placenta such that it lies close to, or covers the internal cervical os. It is a common cause of antepartum hemorrhage. Placenta previa is a potentially life-threatening condition for both mother and infant. As such, antenatal diagnosis is essen...
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Fowler syndrome

Fowler syndrome, also known as proliferative vasculopathy and hydranencephaly-hydrocephaly syndrome (PVHH), is a rare inherited condition. Terminology Not to be confused with Fowler syndrome of urinary retention, a condition caused by primary failure of urethral sphincter relaxation resulting ...
Article

Aortic arch view (fetal echocardiogram)

An aortic arch view is one of the additional views performed on fetal obstetric ultrasound - fetal echocardiography. It is an oblique sagittal view which is obtained similar to a left anterior oblique angiogram or the sagittal arch view obtained in CT arteriography. The isthmus, after the origin...
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Encephalocele

Encephalocele, also known as meningoencephalocele, is a form of neural tube defect and a type of cephalocele where brain tissue and overlying meninges herniate out through a defect in the cranium.  Terminology Although the terms encephalocele and meningoencephalocele are often used interchange...
Article

Uterine artery pseudoaneurysm

Uterine artery pseudoaneurysm (UAP) is a rare cause of secondary postpartum hemorrhage.  Clinical presentation UAP usually presents as delayed (secondary) postpartum hemorrhage, that is per vaginal bleeding which occurs more than 24 hours and up to 6 weeks postpartum. However, some reported ca...
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Anencephaly

Anencephaly is the most severe form of cranial neural tube defect and is characterized by an absence of cortical tissue (although the brainstem and cerebellum may be variably present) as well as an absence of the cranial vault. The morphological spectrum within anencephaly ranges from holocrania...
Article

Double outlet left ventricle

Double outlet left ventricle (DOLV) is an extremely rare congenital cardiac anomaly where both the aorta and pulmonary trunk arise from the anatomical left ventricle. It is usually classified as a conotruncal anomaly and is often associated with a ventricular septal defect with normal continuity...
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Iniencephaly

Iniencephaly is a rare neural tube defect resulting in the following features 1,2: occipital bone defect partial or total absence (rachischisis)  of cervicothoracic vertebrae  fixed fetal head retroflexion Epidemiology The estimated incidence is at ~0.1-10 per 10,000 live births 5. There is...
Article

Limb body wall complex

The limb-body wall complex (LBWC) is a rare variable group of congenital limb and body wall defects (involving mainly the chest and abdomen). They can include: abdominoschisis: usually large and left-sided 4, and almost always present thoracic wall defect / thoracoschisis ectopia cordis anom...
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Portal sinus

The portal sinus is an L-shaped venous confluence in the fetal circulation. It is located in the liver, between the left and right intrahepatic portal veins. The umbilical vein drains into the portal sinus at its medial aspect, near the left inferior intrahepatic portal vein 1,2. The ductus veno...
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Micrognathia

The term micrognathia describes a small mandible. Epidemiology Associations Micrognathia is associated with a vast array of other congenital anomalies which include: aneuploidic syndromic trisomy 9 4 trisomy 13 trisomy 18  non-aneuploidic syndromic arterial tortuosity syndrome Fryns sy...
Article

Folate deficiency

Folate deficiency (hypovitaminosis B9) is the most common vitamin deficiency in the Western world. It is especially important in pregnant women and common amongst alcoholics.  Epidemiology Deficiency arises in two distinct populations: increased demand (pregnancy and lactation) decreased abs...
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Arthrogryposis

Arthrogryposis (multiplex congenita) is a clinical or imaging descriptor that denotes congenital non-progressive joint contractures involving two or more body regions.  Epidemiology Arthrogryposis has been mostly reported in individuals of Asian, African and European descent with equal inciden...
Article

Obstetric curriculum

The obstetric curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core obstetric knowledge. Definition Topics pertaining to the normal and abnormal pregnancy, the gravid uterus and fetal environment, placenta, normal fetal development and fet...
Article

Hypertelorism

Hypertelorism refers to an abnormal increase in distance between any two organs although some authors use the term synonymously with orbital hypertelorism meaning an abnormal increase in distance between the two eyes. The article mainly focuses on the latter. The abnormality is similar to teleca...
Article

Large for dates uterus

A large for date uterus is a clinical observation based on uterine fundal height, which may result in referral for ultrasound assessment, usually in mid to late pregnancy. Pathology Etiology incorrect dates constitutionally large fetus multiple pregnancy fetal macrosomia polyhydramnios u...
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Stenosis of the uterine cervix

Stenosis of the uterine cervix is the pathologic narrowing of the uterine cervix. The term cervical stenosis is clinically defined as cervical narrowing that prevents the insertion of a 2.5 mm wide dilator through the cervical os. Epidemiology One-fifth of patients have a history of exposure t...
Article

Partial hydatidiform mole

Partial hydatidiform mole is a type of molar pregnancy, which in turn falls under the spectrum of gestational trophoblastic disease.  Clinical presentation Clinical signs and symptoms such as abdominal pain, cramps of the lower abdomen and vaginal bleeding during pregnancy are common but non-s...
Article

Cebocephaly

Cebocephaly refers to a type of rare midline craniofacial anomaly where there is a single nostril (which usually ends blindly 6-7) with proboscis-like nose 8 and hypotelorism. Pathology Associations holoprosencephaly: particularly alobar holoprosencephaly trisomy 13 See also ethmocephaly ...
Article

Fetal cholelithiasis

Fetal cholelithiasis refers to formation of gallstones in utero.  Epidemiology There occurrence is thought to be relatively common and is estimated at 1 in 300 pregnancies. They are almost always seen in the 3rd trimester 1. There may be slightly greater male predilection 7. Pathology Associ...

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