ABSTRACT
INTRODUCTION AND OBJECTIVES: To compare fetal images obtained at the first- and second-trimester ultrasound scan when applying the Cardiovascular System Sonographic Evaluation Algorithm (CASSEAL). METHODS: Using the CASSEAL protocol, nine sequential axial views were acquired in B-mode and color Doppler at the first- and second-trimester ultrasound scans, visualizing the main components of the extended fetal cardiovascular system. Images were compared qualitatively between both trimesters. RESULTS: We obtained comparable images for all the nine axial views described in the CASSEAL protocol, with few differences and limitations. CONCLUSIONS: The CASSEAL protocol is reproducible in the first trimester, and could help in the early detection of fetal cardiovascular abnormalities. It represents a promising additional tool in order to increase the CHD detection rate.
ABSTRACT
El himen imperforado es un trastorno congénito en el desarrollo del aparato genital femenino. Pese a ser la más frecuente, su incidencia es alrededor del 0,1 % de las recién nacidas. La anamnesis y exploración física son útiles para el diagnóstico, aunque a menudo se requieren técnicas de imagen. La plastia o apertura del himen es el tratamiento de primera línea. A continuación, exponemos un caso de una paciente de 12 años que consultó por anuria
Imperforate hymen is a congenital disorder of the female genital tract. Despite being the most frequent, its incidence is about 0.1% in female newborns. Medical history and physical examination are useful for diagnosis, although imaging studies are often required. The hymen plasty or opening is the first-line treatment. Below, we present the case of a 12-year-old patient who consulted because of anuria
