Obstetrics and Gynecology
Fatemeh Golshahi; Behnaz Moradi; Forough Jabbari; Marjan Ahmadi
Volume 7, Issue 6 , September and October 2022, , Pages 574-577
Abstract
Fraser syndrome is a rare genetic disorder characterized by multiple structural abnormalities, above all of which are cryptophthalmos and syndactyly. According to reviews of reported cases, diagnostic criteria have been established. Here, we report a case of 18 weeks pregnancy diagnosed with Fraser syndrome ...
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Fraser syndrome is a rare genetic disorder characterized by multiple structural abnormalities, above all of which are cryptophthalmos and syndactyly. According to reviews of reported cases, diagnostic criteria have been established. Here, we report a case of 18 weeks pregnancy diagnosed with Fraser syndrome presenting with cryptophthalmos, syndactyly, kidney agenesis, and hyper-echogenic lungs during an ultrasound examination. The pregnancy was terminated, and diagnostic features of the syndrome were confirmed afterward. Since the imaging characteristics are unique, it is of value that clinicians become familiar with the appearance of the syndrome to provide families with the opportunity to make timely decisions regarding pregnancy termination and use the prenatal diagnostic tools to have healthy children in subsequent pregnancies.
Obstetrics and Gynecology
Behnaz Moradi; Sara Naybandi Atashi; Elham Shirali
Volume 7, Issue 6 , September and October 2022, , Pages 587-588
Abstract
Adnexal masses characterization is a really challenging issue and is essential for appropriate patient management. Ovarian Adnexal Reporting and Data System (O-RADS) is tone excellent standardized lexicons to provide practical uniform terms, definitions and measurements for describing and classifying ...
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Adnexal masses characterization is a really challenging issue and is essential for appropriate patient management. Ovarian Adnexal Reporting and Data System (O-RADS) is tone excellent standardized lexicons to provide practical uniform terms, definitions and measurements for describing and classifying ovarian masses.In the first publication of O-RADS system, they noted that cystic lesions with maximum diameter of solid component of ≥7 mm, are at higher risk for malignancy. On the other hand, the number of papillary projections had nearly similar positive LR (2.2). Despite this and inclusion of the number of papillary projections in the final risk stratification system, the maximal size of solid part was not included and no cystic lesion with solid component could be categorized in O-RADS 3 category, and size of papillary projection make no change in malignancy risk stratification.In conclusion, we propose that in O-RADS lexicon the use of maximal diameter of solid components (with 7 mm cut off point) along with number of papillary projections is helpful to categorize cystic ovarian mass lesions as auxiliary item for classifying risk of malignancy less than 10% to higher than 50% (O-RADS 3 to ORADS 5).
Radiology
Behnaz Moradi; Masoumeh Gity; Fatemeh Davari Tanha; Masoumeh Golestani Jahromi; Shahrzad Fayyazi
Volume 7, Issue 4 , March and April 2022, , Pages 272-278
Abstract
Diagnosis of endometriosis according to TVS may be an appropriate alternative method for laparoscopy. Hence in this study, the role of TVS was investigated compared with laparoscopic assessment in cases with pelvic endometriosis attending to imaging center of Imam-Khomeini and Yas Hospital in Tehran ...
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Diagnosis of endometriosis according to TVS may be an appropriate alternative method for laparoscopy. Hence in this study, the role of TVS was investigated compared with laparoscopic assessment in cases with pelvic endometriosis attending to imaging center of Imam-Khomeini and Yas Hospital in Tehran in 2018. In this diagnostic study, 69 patients with pelvic endometriosis were assessed. The results of TVS were compared with laparoscopic assessment, and the sensitivity, specificity, and congruence rate were determined. According to the obtained results, it may be concluded that most sensitivity of TVS is related to the torus uterinus and dome of the bladder. Also, the most specificity is related to bladder, sigmoid colon, and peritoneal cyst. The most congruence rate between U/S and laparoscopy is at bladder trigon and sigmoid colon. However, in the end, multicenter studies with more cases and comparisons with the results of other diagnostic methods are recommended to achieve more accurate results.
Radiology
Maryam Rahmani; Behnaz Moradi; Masoumeh Gity; Mohammadreza Chavoshi; Sedigheh Hantoushzadeh; Soudabeh Kazemi Aski; Seyedeh Fatemeh Mahdipour Keivani; Narges Badraghe; Mohammad Ali Kazemi
Volume 6, Issue 2 , March 2021, , Pages 72-80
Abstract
Background and Objective: To evaluate the clinical course and CT findings of pregnant womenMethods: Fourthy (25 pregnant and 15 non-pregnant) patients were entered to the study. Chest CT features and clinical findings were evaluated between two groups. Data related to pregnancy and fetal status evaluated ...
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Background and Objective: To evaluate the clinical course and CT findings of pregnant womenMethods: Fourthy (25 pregnant and 15 non-pregnant) patients were entered to the study. Chest CT features and clinical findings were evaluated between two groups. Data related to pregnancy and fetal status evaluated in the pregnant group.Result: The average age of pregnant patients was 33.1±5.75 years and the non-pregnant group was 35.4±6.88 years. The gestational age ranged from 7 weeks to 39weeks+2days (mean =31weeks+5days). No significant difference was seen between the two groups about clinical findings except the duration of symptoms before CT which was more in pregnant patients (6.71 ± 5.5 days vs 3.53 ± 1.92 days). Two mortalities in pregnant and one in non-pregnant patients , 2(8%) cases of premature rupture of membranes (PROM), 3 (12%) cases of intra-uterine fetal death (IUFD), 3 (12%) cases of fetal distress and 2 (8%) cases of IUGR in pregnant group. Fifteen pregnant patients gave birth .No positive PCR result was detected in newborns. Unlike the control group, the common CT findings were ground-glass pattern.Conclusion: In summary, although we found the clinical findings in pregnant and control group were similar but pattern of CT involvement was different in pregnant patients and rate of ICU admission and mortality rate were more than control group. This viral pneumonia was associated with some important complications such as IUFD in severely involved mothers. CT could be an efficient tool for the early detection and severity assessment in the pregnant patients with COVID-19 pneumonia.
Obstetrics and Gynecology
Koroush Shahsavan; Behnaz Moradi; Komeil Farajnejad Ghadi; Mohammad Ali Kazemi
Volume 5, Issue 4 , December 2020, , Pages 178-181
Abstract
Background & Objectives: Congenital partial agenesis of the portal venous system is a very rare anomaly in which part of the portal blood bypass the liver, and is usually associated with the portosystemic shunt (PSS). The prognosis is good and they usually have excellent hemodynamic status with normal ...
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Background & Objectives: Congenital partial agenesis of the portal venous system is a very rare anomaly in which part of the portal blood bypass the liver, and is usually associated with the portosystemic shunt (PSS). The prognosis is good and they usually have excellent hemodynamic status with normal fetal growth and a survival rate.Case report: In this study, we report two rare cases of fetal portal system anomalies at second trimester which mainly involved portal sinus. They are the first cases that have ever been reported without any systemic shunt. Both fetuses were born normally and have had normal outcomes ever since.Conclusion: Partial portal system agenesis with only minor changes in portal system anatomy and without PSS can be considered as variants of portal system with good outcome.
Behnaz Moradi; Shohreh Sadrarhami; Masoumeh Banihashemian; Masoumeh Gity; Ahmad-Reza Tahmasebpour; Mohamad Ali Kazemi
Volume 3, Issue 4 , November and December 2018, , Pages 165-168
Abstract
Background & Objective: Sacrococcygeal teratomas (SCTs) are uncommon germ cell tumors with significant perinatal and postnatal mortality and morbidity rate.
Case Report: We present a case of large fast growing (86x63mm) mostly cystic SCT in a 27-year-old woman with 23 weeks of gestational age ...
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Background & Objective: Sacrococcygeal teratomas (SCTs) are uncommon germ cell tumors with significant perinatal and postnatal mortality and morbidity rate.
Case Report: We present a case of large fast growing (86x63mm) mostly cystic SCT in a 27-year-old woman with 23 weeks of gestational age and normal first trimester ultrasound exam. The fetus was evaluated by both magnetic resonance imaging (MRI) and ultrasonography.
Conclusion: Findings regarding tumor location, size, and content were similar for both sonography and MRI methods, though vascular pattern was detected with higher accuracy and more details by sonography. Meanwhile, MRI provided more appropriate information about tumor effects on surrounding tissue and conus location.
Behnaz Moradi; Mohammad Ali Kazem; Mahboobeh Shirazi
Volume 3, Issue 2 , May and June 2018, , Pages 83-86
Abstract
Introduction: Many different Doppler-derived techniques have been proposed for overall assessment of cardiovascular well-being. In this report, 3 cases of high output cardiac failure were presented with the aim of evaluating the effect of fetal weight on fetal combined cardiac output (CCO).
Patients ...
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Introduction: Many different Doppler-derived techniques have been proposed for overall assessment of cardiovascular well-being. In this report, 3 cases of high output cardiac failure were presented with the aim of evaluating the effect of fetal weight on fetal combined cardiac output (CCO).
Patients Information: The first and second cases were referred to Yas Hospital for the management of fetal anemia at 31and 29 weeks of gestation, respectively, and the third case had a large solid and vascular sacrococcygeal teratoma at 17 weeks. The fetal weight in the first case was less than 10 percentile, in the second case was in normal limit, and in the third one was above 90 percentile. Left ventricle, right ventricle, CCO, and weight-indexed CCO were assessed for both fetuses and all were above normal limit, indicating high output cardiac failure. Right to left cardiac output ratio also increased obviously.
Conclusion: The fetal growth restriction overestimates the weight-indexed CCO and the weight above 90 percentile underestimates it. In these conditions, CCO seems more precise in demonstrating the true burden on fetal heart in comparison with weight-indexed CCO.
