1,720,995 research outputs found
Ultrasound screening in second and third trimester of pregnancy: an update.
No full textActa Biomed. 2007 Dec;78(3):229-32.
Ultrasound screening in second and third trimester of pregnancy: an update.
Verrotti C, Caforio E, Gramellini D, Nardelli GB.
SourceDepartment of Obstetrics, Gynecology, and Neonatology, Section of Gynecology and Obstetrics, University of Parma. [email protected]
Abstract
Ultrasound screening of structural fetal malformations is mainly based on the use of ultrasounds during the second trimester of pregnancy. The diagnostic sensibility of ultrasounds varies in the different multicentric studies reported in literature and is correlated to different factors: gestation period, type of malformation, number of ultrasounds performed, operator experience, etc. Third trimester ultrasounds may identify late-onset malformations and offer adequate information for postnatal assistanc
Intrapancreatic rupture of a splenic artery aneurysm during pregnancy – a rare case report with fetal and maternal survival
No full textJ Matern Fetal Neonatal Med. 2009 Apr;22(4):362-4.
Intrapancreatic rupture of a splenic artery aneurysm during pregnancy - a rare case report with fetal and maternal survival.
Patrelli TS, Anfuso S, Verrotti C, Fadda GM, Gramellini D, Nardelli GB.
SourceDepartment of Obstetrics, Gynecology and Neonatology, OB/GYN Unit, Parma General Hospital, University of Parma, Via Gramsci, Parma 14 43100, Italy. [email protected]
Abstract
Rupture of a splenic artery aneurysm (SAA) during pregnancy is a rare and severe condition. A 35-year-old woman at 34 weeks' gestation came to our observation for acute abdominal pain. After being diagnosed with intra-pancreatic SAA rupture, she was delivered of a live fetus by cesarean section. This is a rare case with both fetal and maternal survival
Targeted and tailored diagnostic strategies in women with perimanopausal bleeding:advantages of the sonohysterographic approach
No full textActa Biomed. 2008 Aug;79(2):133-6.
Targeted and tailored diagnostic strategies in women with perimenopausal bleeding: advantages of the sonohysterographic approach.
Verrotti C, Benassi G, Caforio E, Nardelli GB.
SourceDepartment of Gynecologic, Obstetric and Neonatal Sciences, Unit of Obstetrics and Gynecology, University Hospital of Parma, Parma, Italy. [email protected]
Abstract
BACKGROUND AND AIM OF THE WORK: Diagnosis and treatment of endometrial pathology nowadays ranges from clinical examination to transvaginal ultrasound (TVS), saline infusion sonohysterography (SIS), hysterosalpingography (HSG) and hysteroscopy (HYS). However, many gynaecologists prescribe blind endometrial biopsies, such as Vacuum ABRAsion (VABRA), as single strategy. The purpose of this work is to evaluate whether the procedure of VABRA should still be performed alone in perimenopausal women with abnormal uterine bleeding, compared to biopsies and samples obtained after a previous transvaginal sonohysterography.
METHODS: We retrospectively reviewed the records of 216 patients referred to our Ultrasonography and Day-Surgery Center between November 2005 and December 2006 with persistent premenopausal uterine bleeding, spotting or postmenopausal bleeding. One hundred and five out of 216 pts.(48.6%), defined as Group "A", underwent a sole endometrial sampling by VABRA; 111 out of 216 pts. (51.4%), Group "B", had a SIS first.
RESULTS: Vabra showed a poor sensitivity in the diagnosis of polyps (19%) and submucosal myoma, with a negative predictive value of 73.4%. Likelihood ratio for test negative was 0.81, with an overall diagnostic accuracy of 75%.
CONCLUSIONS: This study confirms that blind endometrial biopsies should no longer be performed as the only diagnostic strategy in perimenopausal women with abnormal uterine bleeding. On the other hand, a sonohysteroscopy-guided approach allows an accurate detection of focal lesions; nevertheless, it should not be forgotten that SIS is an ultrasound based procedure, and may provide further information on endometrial thickness, myomas, ovaries and pelvis
Diagnostic accuracy of IOTA ultrasound morphology in the hands of less experienced sonographers
No full textAust N Z J Obstet Gynaecol. 2008 Apr;48(2):195-201.
Diagnostic accuracy of IOTA ultrasound morphology in the hands of less experienced sonographers.
Gramellini D, Fieni S, Sanapo L, Casilla G, Verrotti C, Nardelli GB.
SourceDepartment of Gynecology, Obstetrics and Neonatology, University of Parma, Parma, Italy. [email protected]
Abstract
AIM: The purpose of our study was to evaluate the ability of the International Ovarian Tumor Analysis (IOTA) classification and its impact on the identification of benign and malignant adnexal masses by less experienced sonographers.
METHODS: One hundred and five patients undergoing elective surgical treatment for single adnexal masses at the University of Parma were enrolled. After the final diagnosis, we had the ultrasound recordings reviewed retrospectively by a group of three residents, and the features of each adnexal mass were evaluated according to the morphological score reported by the IOTA Group.
RESULTS: Based solely on the qualitative classification of the IOTA Group unilocular cysts were associated with a high, significant probability of a benign lesion (odds ratio (OR) = 12.6 (95% CI, 1.61-99.10), P < 0.001). This probability remained high also with multilocular cysts (OR = 7.9 (95% CI, 1.00-62.38), P < 0.05). By contrast, multilocular-solid cysts were significantly associated with the probability of malignancy (OR = 6.4 (95% CI, 1.81-22.70), P < 0.001), as were solid masses (OR = 5.5 (95% CI, 1.48-20.92), P < 0.05). None of the five ultrasound categories of lesions could be significantly correlated with borderline masses.
CONCLUSIONS: A simple qualitative classification based solely on the recognition of five different ultrasound categories may be enough to guide the physician to an accurate identification of the nature of the mass. Our findings confirm the diagnostic reliability of the IOTA Group classification by less experienced sonographers. This system is especially helpful because it is capable of discriminating between ovarian masses without further tests and clinical examinations
Ultrasound Screening in second and third trimester of pregnacy : an update
No full textE001702 - issn: 0392-420
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