Imaging Study: USG Obstetrics

Showing posts with label USG Obstetrics. Show all posts

December 30, 2023
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Case 120: Missed Abortion || 9-10 Weeks || Ultrasound

USG Cases, USG Obstetrics, USG Uterus

Clinical Features:

A young married female patient came with

- Amenorrhoea for 2 months.

- Pervaginal small bleeding.

- Lower abdominal pain.

Ultrasound Features:

- About 9-10 weeks of single intrauterine dead embryo.

- No cardiac activity, even on Doppler.

Remember:

Ultrasound Diagnosis:

Missed abortion of about 9-10 weeks size.

Ultrasound Images:

9-10 weeks of single intrauterine dead embryo with no cardiac activity, even on Doppler.

YouTube Link:

For further demonstration, don't forget to check our video:

Case 116: Two Layers of Cord Around The Neck of a 14th Week Fetus || Ultrasound

USG Cases, USG Obstetrics, USG Umbilical Cord

Clinical Features:

A 29-year-old female patient came with amenorrhea for 3+ months.

Ultrasound Features:

- 13-14 week sized single live intrauterine pregnancy.

- Two layers of cord tightly wrapped around the fetal neck.

Remember:

Don’t end the obstetric ultrasound without using Doppler to see the umbilical cord.

Ultrasound Diagnosis:

Two layers of cord around the neck of a 14-week-sized fetus.

Ultrasound Images:

Two layers of cord around the neck of a 14-week-sized fetus

Tightness of the cord is seen at the neck on 3D images

YouTube Link:

For further demonstration, don't forget to check our video:

Case 104: Fetal Bilateral Hydrocele || Ultrasound

USG Cases, USG Obstetrics

Clinical Features:

A young female patient came with a full-term pregnancy & labour pain.

Ultrasound Features:

Mild fluid collection is noted in bilateral hemiscrotal sacs.

Remember:

- Often results from a patent processus vaginalis.

- Most cases are transient & resolve at birth.

Ultrasound Diagnosis:

Fetal Bilateral Hydrocele.

Ultrasound Images:

Mild fluid collection is noted in bilateral hemiscrotal sacs.

YouTube Link:

For further demonstration, don't forget to check our video:

Case 103: Meconium in Amniotic Fluid || Ultrasound

USG Cases, USG Obstetrics

Clinical Features:

A 20-year-old female patient came with

- Full-term pregnancy

- Abdominal pain

- Less fetal movement

Ultrasound Features:

Dense echogenic substances are noted within the amniotic fluid adjacent to the fetal buttock.

Remember:

Detecting meconium on ultrasound may cause an overdiagnosis. It's wise to be careful before reporting.

Ultrasound Diagnosis:

Meconium in Amniotic Fluid.

Ultrasound Images:

Term pregnancy with cephalic presentation

Dense echogenic substances are noted within the amniotic fluid adjacent to the fetal buttock.

YouTube Link:

For further demonstration, don't forget to check our video:

Case 100: Migrated Intrauterine Contraceptive Device || Ultrasound

USG Cases, USG Obstetrics, USG Retroperitoneum, USG Uterus

Clinical Features:

A 22-year-old female patient with

- H/o using intrauterine contraceptive device & perforation.

- H/o hysterectomy due to ruptured uterus during pregnancy.

Ultrasound Features:

A ‘T’-shaped hyperechoic foreign body surrounded by anechoic localized collection is noted at the right iliac fossa.

Remember:

3D/4D ultrasound may help visualize the IUCD location (especially with serpiginous IUCDs).

Ultrasound Diagnosis:

Migrated Intrauterine Contraceptive Device at the right iliac fossa.

Ultrasound Images:

Echogenic linear IUCD on long section at RIF with surrounding localized collection

Echogenic linear IUCD on trans section at RIF with surrounding the localized collection

Echogenic linear IUCD on long section at RIF with surrounding localized collection

Echogenic linear IUCD on long & trans sections at RIF with surrounding localized collection

On color Doppler, no surrounding abnormal vascularity

3D Ultrasound of the IUCD on different modes

YouTube Link:

For further demonstration, don't forget to check our video:

Case 80: Two Layers of Umbilical Cord Around The Neck

USG Cases, USG Obstetrics, USG Umbilical Cord

Ultrasound Features:

Two layers of the umbilical cord are seen around the fetal neck

Ultrasound Images:

Two layers of cord around the neck

19-20 weeks of gestation

April 08, 2023
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Case 72: 3D Ultrasound of a 26-Week-Sized Intrauterine Pregnancy

USG Cases, USG Obstetrics

3D Ultrasound of a 26-Week-Sized Intrauterine Pregnancy:

Fetal biometry shows around 26 weeks of gestation.

Male fetus showing scrotum & penis. Testes have not descended yet.

3D images of fetal face.

March 29, 2023
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Case 68: Fetal Urinary Tract Dilatation | Hydronephrosis | PUJ Obstruction || Ultrasound || Anomaly

USG Cases, USG Obstetrics

Ultrasound Features:

- 32+ weeks of almost same-sized dichorionic diamniotic twin live pregnancy

- One fetal left kidney shows left renal enlargement with grossly dilated renal pelvicalyceal system, thinning of cortex & no ureteric dilatation indicating PUJ obstruction. Antero-posterior renal pelvis diameter (APRPD) is 40 mm which indicates UTD type 2-3, high risk variety.

Ultrasound Diagnosis:

Twin pregnancy with one fetal left sided urinary tract dilatation (UTD), Type 2-3: High risk, possibly due to PUJ obstruction

Ultrasound Images:

Two fetuses

Grossly dilated left renal pelvicalyceal system, AP RPD: 4 cm

Enlarged left kidney with grossly dilated pelvicalyceal system

March 29, 2023
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Case 65: Fetal Hydrops & Heartailure || Ultrasound || Anomaly

USG Cases, USG Obstetrics

Clinical Features:

A 21-years-old female patient came with 6 months of amenorrhoea

Ultrasound Features:

- 23-24 week sized single live intrauterine pregnancy

- Generalized skin edema

- Bilateral gross pleural effusion with compressed lungs & flattened domes of diaphragm

- Cardiomegaly, enlarged right atrium, thickened ventricular walls with irregularly irregular heart beats & gross bradycardia

- Distended abdomen with ascites

- Hepatomegaly

- Thick-walled gallbladder

- Polyhydramnios

Ultrasound Diagnosis:

Fetal hydrops & heart failure

Remember:

In case of hydrops, if you see hepatosplenomegaly, then it's also a feature of fetal anemia. The heart failure in that situation may or may not be due to anemic cause.