Prenatal ultrasound diagnosis of fetal candida infection: a complication of a retained intrauterine contraceptive device
| Autor: | H. S. Andrews, M. T. Ashworth, D. A. T. Silver |
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| Rok vydání: | 1994 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Radiological and Ultrasound Technology business.industry Obstetrics Ultrasound Obstetrics and Gynecology Echogenicity General Medicine medicine.disease Cystic kidney disease Reproductive Medicine Obstetrics and gynaecology Hydrops fetalis Ascites medicine Radiology Nuclear Medicine and imaging medicine.symptom Differential diagnosis business |
| Zdroj: | Ultrasound in Obstetrics and Gynecology. 4:154-157 |
| ISSN: | 0960-7692 |
| Popis: | A 32-year-old woman was referred complaining of abdominal pain and bleeding at 18 weeks' gestation. The striking finding on ultrasound examination was of symmetrically enlarged echogenic fetal lungs. In addition, mediastinal compression, increased echogenicity of the kidneys and bowel, an enlarged liver of decreased echogenicity, and hydrops fetalis, as evidenced by ascites and skin edema, were all present. The differential diagnosis included upper respiratory tract obstruction and cystic kidney disease. The presence of fetal hydrops together with the other findings suggested a poor outcome, and on these grounds therapeutic abortion was recommended and performed. Subsequent postmortem findings explained all the ultrasound abnormalities on the basis of extensive fetal candida infection. The presence of a retained intrauterine contraceptive device was considered to be the likely cause and the implications of this, together with the ultrasound abnormalities and differential diagnoses, are discussed. Copyright © 1994 International Society of Ultrasound in Obstetrics and Gynecology |
| Databáze: | OpenAIRE |
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