ABSTRACT
OBJECTIVE: To study the prevalence of echogenic material in fetal gallbladder and to analyze its pathological relevance, the perinatal factors involved and the postnatal outcome of detected cases. PATIENTS AND METHODS: We performed a prospective study of ultrasonographic examination of 9235 fetuses in the third trimester of gestation. Perinatal data were collected. Postnatal ultrasonography was performed in identified cases. RESULTS: Fetal biliary echogenic material was found in 0.45 % of all pregnancies, with 42 identified fetuses. A single echogenic image was found in four fetuses (9 %), two or more echogenic images were found in seven fetuses (17 %) and biliary sludge was found in 31 fetuses (74 %). All diagnoses were made between weeks 29 and 38 of gestation. No link was found with maternal factors or perinatal abnormalities. Postnatal follow-up was carried out in 39 neonates; of these, five neonates (13 %) showed biliary sludge, although all five were asymptomatic. In further follow-up examinations, ultrasound studies were normal. CONCLUSIONS: Fetal biliary echogenic material was found in one out of every 200 fetuses. No relationship was found with perinatal abnormalities. The prognosis of fetal gallstones and biliary sludge is favorable.
Subject(s)
Fetal Diseases/diagnostic imaging , Gallbladder Diseases/diagnostic imaging , Adult , Female , Fetal Diseases/epidemiology , Fetus/pathology , Follow-Up Studies , Gallbladder/diagnostic imaging , Gallbladder/pathology , Gallbladder Diseases/epidemiology , Gestational Age , Humans , Infant, Newborn , Male , Pregnancy , Pregnancy Trimester, Third , Prenatal Diagnosis , Prevalence , Prospective Studies , Ultrasonography, PrenatalABSTRACT
Objetivo: Estudiar la prevalencia de la detección de material ecogénico biliar fetal, y analizar su significado patológico, factores perinatales relacionados y evolución posnatal de los casos detectados. Pacientes y métodos: Se realizó un estudio prospectivo ecográfico en 9.235 fetos durante el tercer trimestre de gestación. Se recogieron diversos datos perinatales en los casos detectados, y se realizó ecografía posnatal. Resultados: Se encontró material ecogénico biliar fetal en el 0,45 por ciento de todas las gestaciones, con 42 fetos identificados. Una imagen ecogénica única se detectó en 4 casos (9 por ciento); dos o más imágenes ecogénicas se encontraron en 7 pacientes (17 por ciento) y se halló barro biliar en 31 casos (74 por ciento). Todos los diagnósticos se realizaron entre las semanas 29 y 38 de gestación. No se mostró relación con los factores maternos o la patología perinatal. Se sometieron a seguimiento posnatal 39 recién nacidos. En cinco de ellos (13 por ciento) se encontró barro biliar, aunque todos se mostraban asintomáticos. Este hallazgo desapareció en controles posteriores. Conclusiones: Uno de cada 200 fetos muestra material ecogénico biliar fetal. No parece haber relación con enfermedades perinatales. El pronóstico de esta entidad es favorable (AU)
Subject(s)
Humans , Pregnancy , Infant, Newborn , Male , Female , Adult , Fetus , Follow-Up Studies , Gallbladder , Gallbladder Diseases , Gestational Age , Prenatal Diagnosis , Prevalence , Prospective Studies , Ultrasonography, Prenatal , Pregnancy Trimester, Third , Fetal DiseasesABSTRACT
OBJECTIVE: To report an uncommon case of testicular microlithiasis that was incidentally discovered. METHODS/RESULTS: A case of bilateral testicular microlithiasis in an 8-year-old boy that presented with a left scrotal cystic mass is described. Testicular microlithiasis was discovered on ultrasound evaluation. CONCLUSIONS: Bilateral testicular microlithiasis is a rare condition that requires control follow-up of tumor markers and by ultrasound since this condition has been associated with tumors.
Subject(s)
Lithiasis/diagnosis , Testicular Diseases/diagnosis , Child , Humans , MaleSubject(s)
Ultrasonography , Ureterocele/diagnosis , Child , Female , Humans , Infant , Radiography , Ureterocele/diagnostic imagingSubject(s)
Cholestasis, Extrahepatic/etiology , Gallstones/complications , Hepatic Duct, Common , Aged , Biliary Fistula/complications , Cholestasis, Extrahepatic/diagnostic imaging , Common Bile Duct Diseases/complications , Female , Gallbladder Diseases/complications , Hepatic Duct, Common/diagnostic imaging , Humans , RadiographyABSTRACT
For many years, from the discovery of X-ray up today, medical morfological diagnosis has been based on the analysis of radiographic image. Having regard to the potential risks of ionizing radiations, radiological exploration can not be taken into account as they are harmful, and in some cases they can become dangerous. Authors point out that an abusive using of radiological exploration exists in our country. As for children, a negligent use of radiology can reach very concerned limits. Ultrasound systems which are currently available, used before radiology in a systematical manner, can resolve a morfological diagnostic in many cases, in a sure and faster way, with the great advantage to be a risk-less procedure because ultrasounds are mechanical not ionizing waves. Six cases are shown as an example of the diagnostic possibilities of ultrasound in pediatrics.
Subject(s)
Ultrasonography , Child , Child, Preschool , Cysts/diagnosis , Echinococcosis, Pulmonary/diagnosis , Female , Humans , Hydronephrosis/diagnosis , Infant , Kidney Neoplasms/diagnosis , Lung Diseases/diagnosis , Male , Stomach/abnormalities , Wilms Tumor/diagnosisABSTRACT
A case of osseous lymphangiectasis in a girl is presented and a review of existing literature is made. We include this illness in the group of complex vascular displasis. We mainly focus our attention on radiographic examination which is characteristic, even if not specific. Diagnosis was confirmed by osseous biopsy which is not easy to perform successfully but produced a positive result in our case. It was not possible to perform lymphography.
