1/8. Myomectomy in pregnancy: incarcerated pedunculated fibroid in an umbilical hernia sac.We describe a rare case of a 31-year-old woman at 28 weeks of pregnancy presenting with an incarcerated pedunculated fibroid in an umbilical hernia sac. She had a successful myomectomy and hernia repair and proceeded to have spontaneous vaginal delivery at term. Incarceration of a pedunculated fibroid presents a diagnostic puzzle which can be successfully treated by myomectomy.- - - - - - - - - - ranking = 1keywords = fibroid (Clic here for more details about this article) |
2/8. Limb anomalies among offspring of women with a septate uterus: a report of three cases.A retrospective analysis of 467 births among 255 women with uterine malformations revealed that three (0.64%) newborns had limb reduction defects. Two women had a subseptate uterus and one a complete septate uterus with a longitudinal vaginal septum. One newborn had a bilateral split hand and split foot, one had absence of left hand and wrist. One infant born without left hand, wrist and one antebrachial bone associated with omphalocele and diaphragmatic hernia died during the neonatal period. An association between severe limb reduction defects and septate uterus is possible, although the mechanism is unclear. The findings indicate a need to evaluate the uterine cavity if a newborn has this invalid defect, and a detailed ultrasound examination of fetal limbs is warranted in a case of a pregnant septate uterus.- - - - - - - - - - ranking = 0.0023577857363984keywords = uterus (Clic here for more details about this article) |
3/8. Omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) in triplet pregnancy after IVF and CVS.BACKGROUND: Omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) complex is a rare sporadic condition. CASE: We identified an infant with major malformations resembling OEIS. He was the product of a 30-week triplet pregnancy conceived by in vitro fertilization (IVF) and evaluated by chorionic villi sampling (CVS). In this article, we review the possible pathogenetic mechanisms in this case, including IVF, multiple gestation, trauma to the uterus or uterine vessels following CVS, and placenta accreta. CONCLUSIONS: We conclude that the cumulative effects of all or some of these factors may have resulted in uteroplacental insufficiency adequate to produce this phenotype. This case provides additional evidence for the uterine vascular pathogenesis of OEIS complex in humans.- - - - - - - - - - ranking = 0.00029472321704979keywords = uterus (Clic here for more details about this article) |
4/8. Body stalk anomaly: congenital absence of the umbilical cord.On ultrasound examination, a 20-year-old pregnant woman was found to have a fetus with a large ventral abdominal wall defect diagnosed as a fetal omphalocele. The neonate was delivered by cesarean; the abdominal viscera including liver, stomach, spleen, pancreas, intestine, and uterus were contained in an extraembryonic sac directly attached to the placenta without an umbilical cord. Body stalk anomaly (also known as absence of the umbilical cord syndrome) is a fatal condition resulting from maldevelopment of embryonic body folding and is associated with multiple congenital defects. Prenatal ultrasonographic recognition of the absence of an umbilical cord and direct apposition of the membranous sac to the amniochorionic membrane would permit early termination of pregnancy or avoidance of operative intervention.- - - - - - - - - - ranking = 0.00029472321704979keywords = uterus (Clic here for more details about this article) |
5/8. A uterine fibroid presenting as an incarcerated umbilical hernia during pregnancy.Uterine leiomyomas (fibroids) affect 2.6% of pregnancies. They are usually silent, but on occasions can complicate pregnancies. A case of a 30-year-old pregnant woman with a uterine fibroid incarcerated in an umbilical hernia is presented. This is the second reported case of a fibroid in pregnancy with such a presentation.- - - - - - - - - - ranking = 1.1666666666667keywords = fibroid (Clic here for more details about this article) |
6/8. Pseudoomphalocele: pitfall in fetal sonography.Compression of the fetal abdomen between the walls of the uterus or placenta can result in an appearance that mimics that of omphalocele on sonography. This may be caused by oligohydramnios or by a transient compression of the fetal abdomen with a normal amount of amniotic fluid. Four cases of pseudoomphalocele and one case of true omphalocele are presented.- - - - - - - - - - ranking = 0.00029472321704979keywords = uterus (Clic here for more details about this article) |
7/8. OEIS complex with craniofacial anomalies--defect of blastogenesis?We report on a 31-week fetus with hydrocephalus, hypertelorism, microtia, short neck, vertebral and rib defects, scoliosis, omphalocele, exstrophy of bladder, absent external genitalia and pubic rami, imperforate anus, diaphragmatic hernia, defective lobulation of lungs, single kidney, bicornuate uterus, and flexion deformities of the limbs. Similar extensive anomalies in the rostral and caudal regions were described by Russell et al. [pediatrics, 67:176-182, 1981] and Stewart et al. [Am J Med Genet, 45:426-429, 1993]. The patients described by them had a combination of the oculo-auriculo-vertebral sequence (OAV) and caudal deficiency sequence, whereas the patient reported here can best be described as a combination of OAV and OEIS (omphalocele, exstrophy of bladder, imperforate anus, spinal defects) complexes. The widespread malformations seen in our patient may be the result of an error during blastogenesis.- - - - - - - - - - ranking = 0.00029472321704979keywords = uterus (Clic here for more details about this article) |
8/8. Caudal developmental field defect with female pseudohermaphroditism and VACTERL anomalies.We describe an infant who died shortly after birth, with Potter sequence and prune belly anomaly, omphalocele, single umbilical artery, imperforate anus and micropenis with empty scrotum. Fetopathological examination revealed multiple vertebral anomalies with rudimentary sacrum, hypoplasia o2 the first metacarpus on right hand, complex cardiovascular anomalies, malrotation of intestines, a dilated and blind-ending cloaca to which both ureters and a bicornuate uterus were connected, normal ovaries, hypoplastic kidneys with cystic renal dysplasia. The descending colon ended blindly and showed a fistulous communication with the cloaca. Chromosome studies on peripheral blood lymphocytes and fibroblasts of a skin biopsy demonstrated a normal 46,XX karyotype. The possible mechanisms underlying the concurrence of a caudal developmental field defect with female pseudo-hermaphroditism and additional features of the VACTERL association are discussed.- - - - - - - - - - ranking = 0.00029472321704979keywords = uterus (Clic here for more details about this article) |