Cystic hygroma dt-2
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A 26-year-old pregnant woman presented with decreased fetal movement at 7 months of pregnancy. An ultrasound revealed well-defined, anechoic, asymmetric, multiseptate, thin-walled cystic masses on the fetal head and neck, consistent with cystic hygroma. Cystic hygroma is a lymphatic anomaly characterized by cysts containing clear fluid, usually involving the posterior neck region. It often occurs with chromosomal abnormalities and generally has a poor prognosis, possibly leading to oligohydramnios, fetal demise, or developmental issues if the baby survives.
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Basic Obstetric Ultrasound
Basics of Ultrasound for Graduates By :
Dr.Ahmed Samy
lecturer of Obstetric & Gynecology
Cairo University
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Neuroblastoma case scenarios for plan mangmentNational Cancer Institute, Cairo University - Children's Cancer Hospital - Egypt 57357
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This document discusses umbilical venous catheters used in neonates, including three case studies. It outlines complications that can arise from malpositioning of the catheter tip, such as perforation of blood vessels, ascites, cardiac issues, and liver damage. Predicting the proper insertion length is difficult and radiography is not always reliable in confirming tip location. The recommendation is that further research is needed to determine the best length of insertion and that repeated imaging may help ensure the tip remains in the correct position.
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Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery January Cases
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The document discusses oligodendroglioma, a rare type of brain tumor. Key points include:
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Oite 2010 disease
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Ultrafest sandwich sign
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- 1. Authors – Dr. Tanmayi Kulkarni Co-authors – Dr. Dhaval K. Thakkar Dr. V. M. Kulkarni Institution – Dr. D. Y. Patil Medical College, Pimpri, Pune
- 2. Clinical profile: 26 years old female patient, primigravida had come with 7 months amenorrhea. Also, complaints of decreased fetal movements since that morning. Ultrasound image shows well defined, anechoic, asymmetric, multiseptate, thin-walled cystic masses
- 3. Ultrasound of coronal and sagittal image of fetal head and neck reveals well defined, anechoic, asymmetric, multiseptate, thin-walled cystic masses
- 5. Differential Diagnosis 1. Cystic Hygroma 2. Encephalocele 3. Meningomyelocele 4. Teratomas
- 6. Cystic Hygroma • Hygroma- Moist Tumour • Anomalies of the lymphatic system • Characterized by single or multiple cysts within the soft tissue. • Usually bilateral. • Involves the posterior aspect of neck. • Contain clear or cloudy fluid. Prognosis • Prognosis is poor. • It depends on the associated Chromosomal anomalies. • Usually leads to oligohydramnios or fetal demise.
- 7. Pathogenesis • Fetal Lymphatic system develops at around 5th week of gestation • Failure to establish lymphatic connection lead to accumulation of the lymphatic fluid. • Dilatation of the lymphatic sac leads to the formation of cystic structure • Usually partitioned by the fibrous bands corresponding to nuchal ligament.
- 8. Associated Anomalies Chromosomal anomalies • Turner"s syndrome (45, X0 or mosaic 46, XX/45, X): 45-50% of cases • Trisomy 21 • Trisomy 18 15 % of cases • Trisomy 13 • Trisomy 22 mosaicism • Partial trisomy 11q/22q • 13q-syndrome • 18p-syndrome • balanced translocation t (6q; 12q
- 9. References 1. Brown LR, Reiman HM, Rosenow EC et-al. Intrathoracic lymphangioma. Mayo Clin. Proc. 1986;61 (11): 882-92. 2. Faul JL, Berry GJ, Colby TV et-al. Thoracic lymphangiomas, lymphangiectasis, lymphangiomatosis, and lymphatic dysplasia syndrome. Am. J. Respir. Crit. Care Med. 2000;161 (3 Pt 1): 1037-46. 3. Miyake H, Shiga M, Takaki H et-al. Mediastinal lymphangiomas in adults: CT findings. J Thorac Imaging. 1996;11 (1): 83-5. 4. Shaffer K, Rosado-de-christenson ML, Patz EF et-al. Thoracic lymphangioma in adults: CT and MR imaging features. AJR Am J Roentgenol. 1994;162 (2): 283-9. 5. Webb WR, Higgins CB. Thoracic imaging, pulmonary and cardiovascular radiology. Lippincott Williams & Wilkins. (2005) ISBN:078174119X. 6. Mernagh JR, Mohide PT, Lappalainen RE et-al. US assessment of the fetal head and neck: a state-of- the-art pictorial review. Radiographics. 1999;19 Spec No : S229-41. 7. Merz E, Bahlmann F. Ultrasound in obstetrics and gynecology. Thieme Medical Publishers. (2005) ISBN:1588901475. 8. Hsieh YY, Lee CC, Chang CC et-al. Prenatal sonographic diagnosis of Cantrell's pentalogy with cystic hygroma in the first trimester. J Clin Ultrasound. 1998;26 (8): 409-12. 9. Rosati P, Guariglia L. Prognostic value of ultrasound findings of fetal cystic hygroma detected in early pregnancy by transvaginal sonography. Ultrasound Obstet Gynecol. 2000;16 (3): 245-50. 10. Rosati P, Guariglia L. Transvaginal ultrasound detection of septated and non-septated cystic hygroma in early pregnancy. Fetal. Diagn. Ther. 12 (3): 132-5. - 11. Entezami M, Albig M, Knoll U et-al. Ultrasound Diagnosis of Fetal Anomalies. Thieme. (2003) ISBN:1588902129. 12. Eisenberg RL. Clinical Imaging. Lippincott Williams & Wilkins. (2010) ISBN:0781788609.