RESUMO
An 80-year-old Black, South African woman presented in the outpatient department with severe abdominal pain. Ultrasound examination revealed a large echogenic mass (20 x 20 cm) in the right upper quadrant. An abdominal x-ray demonstrated the skeleton of a fully developed extrauterine fetus. It is presumed from the patient's history that this fetus was present for at least 40 years. Radiography revealed a fetus shrouded in a mantle of calcification. The fetus was hyper-flexed with other signs of "intrauterine" death. Fetal dentition charts dated the fetus at 34 weeks, the epiphyses being obscured by extensive calcification. In addition to subcutaneous calcification there was extensive visceral and intracranial calcification.
Assuntos
Calcinose/patologia , Morte Fetal , Gravidez Abdominal/patologia , Abdome Agudo/etiologia , Idoso , Idoso de 80 Anos ou mais , Calcinose/diagnóstico por imagem , Feminino , Humanos , Gravidez , Gravidez Abdominal/diagnóstico por imagem , Radiografia , Fatores de TempoRESUMO
Fetal heart movement and fetal heart rate are easily observed with real-time ultrasonography. Certain aspects of fetal cardiac disorders can thus be further evaluated by M-mode echocardiography. Congenital heart block and associated connective tissue disorders are discussed.
Assuntos
Doenças Fetais/diagnóstico , Bloqueio Cardíaco/diagnóstico , Diagnóstico Pré-Natal , Adulto , Ecocardiografia , Feminino , Bloqueio Cardíaco/congênito , Humanos , Masculino , Gravidez , UltrassonografiaRESUMO
Ultrasonography in the diagnosis of fetal abnormalities is well documented, and improvements in technology have made possible detailed visualization of the intracranial anatomy. Ten per cent of major fetal abnormalities involve the head and neck. A case of simulation of a posterior fossa cyst by normal, hypoechoic white matter on cranial ultrasonography is presented. Potential pitfalls and the differential diagnosis of intracranial abnormalities in utero are discussed.
Assuntos
Encefalopatias/diagnóstico , Cistos/diagnóstico , Doenças Fetais/diagnóstico , Diagnóstico Pré-Natal , Ultrassonografia , Adulto , Fossa Craniana Posterior , Erros de Diagnóstico , Feminino , Humanos , Hidrocefalia/diagnóstico , GravidezRESUMO
An iatrogenic disease resulting from the induction of ovulation is described. It would appear that it is uncommon in southern Africa.
Assuntos
Menotropinas/efeitos adversos , Doenças Ovarianas/induzido quimicamente , Indução da Ovulação , Adulto , Ascite/induzido quimicamente , Feminino , Humanos , Derrame Pleural/induzido quimicamenteRESUMO
Since its introduction in 1959 the plastic intra-uterine contraceptive device (IUCD) has been accepted as a safe and convenient means of preventing conception. Nevertheless, use of the IUCD has been attended by complications, notably perforation of the uterus by the device. An unusual case of translocation of an IUCD--the device was located within the lumen of the appendix--is presented.
