ABSTRACT
We report on the case of a 24 year old patient under medical treatment, because of sterility. The diagnosis of a rare sex cord tumour with annular tubules of the ovary before pregnancy, was followed by observation during this time and finally controlled after delivery by a sphenoidal excision from both ovaries. The influence of this disease on fertility and pregnancy and the influence of pregnancy on the tumour with its therapeutical consequences, will be discussed with reference to the current literature. The tumor is no reason for sterility. During pregnancy, an operative intervention may be inevitable. The histological status seems to be unchanged during pregnancy.
Subject(s)
Infertility, Female/pathology , Microtubules/ultrastructure , Ovarian Neoplasms/pathology , Pregnancy Complications, Neoplastic/pathology , Adult , Female , Humans , Infant, Newborn , Infertility, Female/surgery , Male , Ovarian Neoplasms/surgery , Ovary/pathology , Pregnancy , Pregnancy Complications, Neoplastic/surgeryABSTRACT
In the case of a 29-year-old woman an early SGA (small for gestational age) fetus was detected in her third pregnancy. This fact being already a possible indicator for a genetical defect, the fetus also showed permanent cysts of the Plexus choroideus as a sonographical symptom of a deletion of the chromosome 10 (10 qter). The value of Plexus choroideus cysts sonographically diagnosed during pregnancy is discussed by showing the differential diagnoses, the clinical proceedings in general and specially the indications for a chromosomal analysis.
Subject(s)
Abnormalities, Multiple , Choroid Plexus/diagnostic imaging , Cysts/diagnostic imaging , Infant, Premature, Diseases/diagnostic imaging , Infant, Small for Gestational Age , Adult , Choroid Plexus/abnormalities , Female , Humans , Infant, Newborn , Pregnancy , Prenatal Diagnosis , UltrasonographyABSTRACT
Transvaginal hysterosalpingo-contrast-sonography (Hy-Co-Sy) is described as a new method for direct imaging of the tubal passage in tubal diagnostics. During one period of anaesthesia, a transvaginal Hy-Co-Sy was followed by either hysterosalpingography or chromolaparoscopy in 42 patients with sterility disorders. The contrast-enhanced sonography of the tubes was performed in eight cases with sterile saline solution (group 1) and 34 cases with a specially developed ultrasound contrast medium (SH U 454, group 2). The findings obtained by transvaginal Hy-Co-Sy were compared with those of the conventional method. By both methods, there was complete agreement with respect to the same evaluation of tubal passage for both sides, partial agreement when firstly the tubes were assessed as unilaterally or bilaterally open--without precise localization of the side--depending on the appearance of fluid in the pouch of Douglas, or secondly, only one side, when compared, showed agreement. In group 1 complete agreement was found once, partial agreement five times and non-agreement twice, while in group 2 complete agreement was found 22 times (65%), partial agreement 11 times and non-agreement once.
