Items tagged “obstetrics”

24 results found
Article

Crown rump length

Crown rump length (CRL) is the length of the embryo or fetus from the top of its head to bottom of torso. It is the most accurate estimation of gestational age in early pregnancy, because there is little biological variability at that time. Measurement CRL is measured as the largest dimension ...
Article

Echogenic fetal bowel

Echogenic fetal bowel is an observation in antenatal ultrasound imaging, in which fetal bowel appears to be brighter than it is supposed to be. It is a soft marker for trisomy 21 and has several other associations. When observed, it needs to be interpreted in the context of other associated abno...
Article

Interstitial line sign

The interstitial line sign is an ultrasound finding in interstitial ectopic pregnancy. It is an echogenic line from the mass to the endometrial echo complex. Reportedly it has high sensitivity (80%) and specificity (98%).
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 (11.3-13.6 weeks). It should not be confused with the nuchal fold, which is seen in the second trimester.   Pathology Increased...
Article

Tubal ectopic pregnancy

Tubal ectopic pregnancy (or adnexal ectopic pregnancy) is the most common location of an ectopic pregnancy. Epidemiology It is the most common type of ectopic by far, accounting for 93-97% of cases. Pathology Although the fallopian tube has many anatomical parts, for the purposes of ectopic ...
Article

Twin-peak sign (twin pregnancy)

The twin peak sign (also known as the lambda (λ) sign) is a triangular appearance of the chorion insinuating between the layers of the intertwin membrane and strongly suggests a dichorionic twin pregnancy. It is best seen in the first trimester (between 10-14 weeks) 5. While the presence of a tw...
Article

Ovarian hyperstimulation syndrome

Ovarian hyperstimulation syndrome (OHSS) is a complication of ovarian stimulation treatment (ovarian induction therapy) for in vitro fertilisation. Rarely, it may also occur as a spontaneous event in pregnancy (see spontaneous ovarian hyperstimulation later in the article). The clinical syndrom...
Article

Missed miscarriage

A missed miscarriage, sometimes termed a missed abortion 3, is a situation when there is a non-viable fetus within the uterus, without symptoms of a miscarriage.   Radiographic features Ultrasound Ultrasound diagnosis of miscarriage should only be considered when either a mean gestation sac d...
Article

Retained products of conception

Retained products of conception (RPOC) refer to the persistence of placental and/or fetal tissue in the uterus following delivery, termination of pregnancy or a miscarriage.  Epidemiology Retained products of conception complicate ~1-5% of all pregnancies (routine vaginal deliveries 12).  Acc...
Article

Antenatal soft markers on ultrasound

Antenatal soft ultrasound markers are fetal sonographic findings that are generally not abnormalities as such but are indicative of an increased age adjusted risk of an underlying fetal aneuploidic or some non chromosomal abnormalities. Most of the described features do not constitute a structu...
Article

Fetal tachycardia

Fetal tachycardia is an abnormal increase in the fetal heart rate. It is variably defined as a heart rate above 160-180 beats per minute (bpm) and typically ranges between 170-220 bpm (higher rates can occur with tachyarrhythmias). Epidemiology The estimated prevalence is ~0.4-1% of pregnancie...
Article

Subchorionic hemorrhage

Subchorionic hemorrhage (SCH) occurs when there is perigestational hemorrhage and blood collects between the uterine wall and the chorionic membrane in pregnancy. It is a frequent cause of first and second trimester bleeding. Epidemiology It typically occurs within the first 20 weeks of gestat...
Article

Fetal bradycardia

Fetal bradycardia refers to an abnormally low fetal heart rate, a potentially ominous finding. A sustained first trimester heart rate below 100 beats per minute (bpm) is generally considered bradycardic. The average fetal heart rate changes during pregnancy, however, and some consider the lower ...
Article

Placental venous lakes

Placental venous lakes refer to a phenomenon of formation of hypoechoic cystic spaces centrally within the placenta. Finding placental lakes during a second trimester ultrasound scan is not associated with any uteroplacental complication or with an adverse pregnancy outcome. They can, however, b...
Article

Absent umbilical arterial end-diastolic flow

Absent end-diastolic flow (AEDF) in an umbilical artery Doppler assessment is a useful feature which indicates underlying fetal vascular stress if detected in mid or late pregnancy. It is often classified as Class II in severity in abnormal umbilical arterial Dopplers 9. Pathology The presence...
Article

Anhydramnios

Anhydramnios is a term where there is a complete or near-complete lack of amniotic fluid (sometimes referred to as "liquor volume"). Pathology Anhydramnios can result in a number of situations: fetal renal tract anomalies Potter syndrome (bilateral renal agenesis): most common  large ureter...
Article

Pregnancy of unknown location

The term pregnancy of unknown location is assigned when neither an intrauterine pregnancy (IUP) or an ectopic pregnancy is identified on transvaginal ultrasound in the context of a positive pregnancy test. Clinical presentation pelvic pain, vaginal bleeding positive pregnancy test Pathology ...
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

Beta-hCG

Beta-hCG (bHCG) is a sex hormone found in the mother's blood serum that can be used to help interpret obstetric ultrasound findings. Beta-hCG levels may be used in three ways in the clinical setting of pregnancy: qualitatively, for presence/absence of fetal tissue more often determined with a...
Article

Acute pelvic pain

Acute pelvic pain is a common presenting symptom to the emergency department and radiologist. Pelvic ultrasound with transabdominal and endovaginal approaches is usually the first line imaging modality. Clinical presentation non-cyclic pain pain of <3 months duration Patients also often pres...

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