Chikungunya Virus Infection during Pregnancy, Réunion, France, 2006

Except for prenatal hospital admissions for those infected, this virus had no effect on outcomes

Torsion de trompe isolée

REIMS-BU Santé (514542104) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Binder phenotype and brachytelephalangic chondrodysplasia punctata secondary to maternal vitamin K deficiency

International audienceno abstrac

À propos de six observations de double discordance cardiaque : faisabilité du diagnostic anténatal ?

International audienceThe double discrepancy (DD) is an exceptional cardiopathy, manifested by atrioventricular and ventriculo-arterial discordances. DD is rarely diagnosed in the antenatal period and is often found in adults when cardiac complications occur. We describe six cases of DD, the different forms, their ultrasound semiology, and the assessment of prognosis, correlated with the existence of associated cardiac anomalies.La double discordance (DD) est une cardiopathie exceptionnelle, se manifestant par une discordance auriculoventriculaire et ventriculoartérielle. La DD est rarement diagnostiquée en période anténatale et est souvent découverte chez l’adulte lorsque surviennent les complications cardiaques. Nous décrivons six observations de DD, les différentes formes et leur sémiologie échographique ainsi que l’évaluation du pronostic, corrélé à l’existence des anomalies cardiaques associées

Conjoined twins: what ultrasound may add to management

Introduction: Conjoined twins occur in approximately 0.2:10,000 births; the obstetrician and sonographer only rarely examine them. In Western countries, discovery of conjoined twins is often made by the end of the first trimester; however, in the third world, conjoined twins are often discovered only at birth. Objective: To evaluate how ultrasound techniques, when possibly available, may improve management and counseling when conjoined twins are confirmed. Material and Methods: The authors report two different cases of union of two equal twins with sole umbilical cord. Results: The two cases presented with non contributive medical history and no prior teratogen exposure and an unfavorable prognosis. Early discovery of viable conjoined twins permits assessment of the best route of delivery and a planning for serial sonography and fast MRI to plan eventual separation surgery or fetus after-birth surviving possibilities

Ultrasound features of fetal toxoplasmosis: a contemporary multicenter survey in 88 fetuses

International audienceObjective: To describe the lesions detected by prenatal ultrasound examination in congenital toxoplasmosis (CT).Methods: We retrospectively analyzed all cases of fetal infection with T. gondii with ultrasound anomalies described by fetal medicine experts in 2009-2019 in 30 French centers.Results: Eighty-eight cases of CT were included. Forty-five (51.1%) had one or more cerebral signs only, 35 (39.8%) had cerebral plus extra-cerebral signs and 8 (9.1%) had extra-cerebral signs only. The main cerebral signs were intracranial hyperechogenic nodular foci (n=60) of which 20 were isolated, ventriculomegalies (n=44) which generally increased during follow-up, and periventricular abscesses (n=12). The main extra-cerebral signs were hepatomegaly and/or splenomegaly (n=14), small for gestational age (n=14), ascites (n=14, including 2 with hydrops), and hyperechogenic bowel (n=11). Maternal infection occurred mostly in the first or second trimester (81 cases), periconceptionally in 1 and in the third trimester in 6 cases. The first ultrasound signs were detected after a median of 7 weeks [range: 1.4; 24.0] following maternal toxoplasmosis seroconversion.Conclusion: While no sign was specific of CT, there were typical associations of cerebral signs with or without extracerebral signs. Detailed ultrasound examination could improve prognostic evaluation, as well as diagnosis of CT in settings lacking serological screening