Australasian Medical Journal
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Get PDFIt is with great pleasure that I present to you the latest issue of the Australasian Medical Journal (AMJ) for the year 2025
EDITOR’S NOTE
Get PDFDear Readers, Season’s greetings! We are delighted to present the fourth edition of the Australasian Medical Journal (AMJ) for 2025. This issue includes a selection of original research papers and case studies, but more importantly, it serves as a reflection and celebration of the contributions made throughout the year. We take this opportunity to extend our heartfelt appreciation to our readers, authors, and the broader academic community for your continued interest and engagement with AMJ
THANK YOU NOTE
Get PDFIt is with great pleasure that I present to you the latest issue of the Australasian Medical Journal (AMJ) for the year 2025
Short Umbilical Cord Diagnosed at 12 Weeks of Amenorrhea : Case Report
Get PDFIntroduction The umbilical cord plays a critical role in fetal development, facilitating nutrient, oxygen, and waste exchange. Deviations from normal length, particularly a short umbilical cord (less than 35 cm at term), are associated with adverse perinatal outcomes, including restricted fetal movement, intrauterine growth restriction (IUGR), and preterm birth. Although typically detected later in pregnancy or postpartum, advancements in ultrasonography enable earlier diagnosis. This report presents a case of a short umbilical cord identified at 12 weeks of gestation through routine prenatal ultrasonography, emphasizing the significance of early detection for clinical decision-making and maternal-fetal outcomes. Methods A 29-year-old gravida 2, para 1 woman underwent routine prenatal ultrasonography at 12 weeks of gestation. A high-resolution transabdominal ultrasound and three-dimensional imaging confirmed an umbilical cord measuring 8 cm, significantly shorter than expected. Doppler studies showed normal umbilical artery blood flow. Amniotic fluid volume, fetal movements, and structural development were assessed, revealing no additional anomalies. Following multidisciplinary counseling, the pregnancy was terminated at 12 weeks of gestation. Post-procedure fetopathologic examination verified the findings. Results The umbilical cord's short length was confirmed via fetopathologic examination (8 cm), with normal placenta morphology and no fetal structural abnormalities. This early diagnosis allowed for informed counseling and management, prioritizing maternal well-being given the uncertain fetal prognosis. The case underscores the role of advanced imaging in early anomaly detection and the subsequent impact on care planning. Discussion Short umbilical cord is a rare anomaly with significant implications for fetal and maternal outcomes. Early detection using advanced ultrasonography, as demonstrated in this case, facilitates timely counseling and management. The decision to terminate the pregnancy was made to mitigate maternal risks and address the uncertain prognosis. This case underscores the importance of a personalized approach to rare prenatal anomalies. Further research is needed to elucidate the etiology, optimize diagnostic protocols, and establish evidence-based guidelines for management. Conclusion This case highlights the utility of advanced ultrasonography in detecting rare prenatal anomalies, such as a short umbilical cord, as early as the first trimester. Early diagnosis and multidisciplinary counseling enable tailored care, optimizing outcomes for both mother and fetus. Further studies are essential to refine diagnostic and management strategies for this rare conditio
THANK YOU NOTE
Get PDFIt is with great pleasure that I present to you the latest issue of the Australasian Medical Journal (AMJ) for the year 2025
THANK YOU NOTE
Get PDFIt is with great pleasure that I present to you the latest issue of the Australasian Medical Journal (AMJ) for the year 2025
Prenatal Diagnosis of Laparoschisis : Case Report
Get PDFIntroduction and importance: Laparoschisis is a congenital abdominal wall defect characterized by herniation of abdominal contents through a paraumbilical opening. Early prenatal diagnosis is critical for appropriate counseling, monitoring, and management. We report a case of laparoschisis diagnosed at 11 weeks of gestation in an otherwise healthy patient, confirmed by ultrasonographic and fetopathologic examinations. Case presentation: A 27-year-old gravida 1, para 0 woman underwent routine prenatal ultrasonography at 11 weeks of amenorrhea. High-resolution imaging and Doppler studies confirmed the diagnosis of laparoschisis. Subsequent evaluations included detailed anatomical ultrasonography and post-termination fetopathologic examination. Clinical Discussion: Ultrasonography at 11 weeks revealed a paraumbilical abdominal wall defect with extrusion of bowel loops into the amniotic cavity, consistent with laparoschisis. Amniotic fluid volume and fetal crown-rump length were within normal ranges, with no other anomalies detected. The pregnancy was terminated at 11 weeks following multidisciplinary counseling. Fetopathologic examination corroborated the ultrasonographic findings, confirming isolated laparoschisis with no associated structural abnormalities. Conclusion: Early detection of laparoschisis allows for tailored management strategies, including prenatal monitoring and delivery planning. This case highlights the utility of ultrasonography in diagnosing rare anomalies in the first trimester and the importance of multidisciplinary approaches in decision-making
