A hydramnios fetus with age of 7 months, diagnosed as fetus with nasal deformity type of elephant trunk in Ninh B×nh General Hospital. The ultrasound showed that the fetus with hydramnios, nasal deformity type of elephant trunk and without eyes. This paper concluded that the ultrasound play very important role in the diagnosis of fetal deformity from which having the timely indication for pregnant intervention.
Abnormalities ; Ultrasonography

Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis is a rare congenital anomaly. Excision of the obstructed vaginal septum is the treatment of choice for symptom relief and the preservation of reproductive capability. A 14-yr-old girl complained of persistent vaginal spotting following each menstruation. Pelvic magnetic resonance imaging revealed a uterus didelphys with left hematocolpos and ipsilateral renal agenesis. Instead of conventional transvaginal excision of the vaginal septum, we used hysteroscopic excision under transabdominal ultrasonographic guidance to preserve the integrity of the hymen. The postoperative course was uneventful, and clinical symptoms were completely resolved after this intervention. Resectoscopic excision of the vaginal septum was found to be easy, safe, effective, and appropriate for young women as it preserved hymen integrity. We believe that this is the first Korean report on the use of a hysteroscopy for vaginal septum resection in a patient with uterus didelphys with obstructed hemivagina.
Adolescent ; Female ; Humans ; Hysteroscopy/*methods ; Kidney/abnormalities ; Urogenital Abnormalities/surgery ; Uterus/*abnormalities ; Vagina/*abnormalities/*surgery/ultrasonography

From 1/1999 to 9/2004, 12720 pregnancies were examined and underwent ultrasound in Ob-Gyn Deparment of Bachmai Hospital and 64 fetuses were found with congenital malformations. The fetal malformations rate was 0.5%. Fetal malformations were detected mainly at primipa. Youngest fetal age was 12 weeks. Mean fetal age when detecting malformations was 22.8 weeks. Single malformation was 68.8%. The most common defects were anecephaly (23.4%), hydrocephaly (20.3%), holoprosencephaly (12.5%). 73.4% of pregnancies with malformation fetuses were terminated successfully by putting Cytotec to cause labour. One case was operated and one was aborted after putting cytotec failed. Failure rate of causing labour by Cytotec was 4%
Fetus ; Fetus/abnormalities ; Diagnosis ; Ultrasonography ; Therapeutics

The last 2 decades have seen considerable advances in obstetric ultrasonography, which now forms part of routine prenatal care in most countries. Congenital anomalies often occur sporadically and unpredictably. The prenatal identification of an abnormal fetus allows the opportunity for prenatal counseling with a multidisciplinary team of experts, and a thorough discussion of pregnancy options. Furthermore, prenatal diagnosis can influence antepartum and intrapartum management, and permit the planning of the mode and site of delivery, thus ensuring optimal care of the fetus and the newborn. Prenatal surgical therapy can also be offered to fetuses with simple anatomic defects that have predictably devastating developmental consequences. This review discusses controversies regarding the accuracy, limitations and the roles of ultrasound in pregnancy.
Abnormalities/*ultrasonography ; Female ; Human ; Pregnancy ; *Ultrasonography, Prenatal/standards

We report here on a case of double-orifice mitral valve with mitral regurgitation in a 75-year-old female who had complaints of mild dyspnea. Transthoracic and transesophageal echocardiography showed two orifices that were supplied by their own chordae from a different papillary muscle. Color Doppler echocardiography revealed moderate to severe mitral regurgitation due to the flail posterior leaflet of the anterolateral orifice. Except for the persistent left superior vena cava, no other congenital anomaly was demonstrated. The patient became asymptomatic with the administration of angiotensin-converting enzyme inhibitor and diuretics, and she has been scheduled for long term follow-up.
Papillary Muscles/abnormalities/ultrasonography ; Mitral Valve Insufficiency/*etiology/ultrasonography ; Mitral Valve/*abnormalities/ultrasonography ; Humans ; Female ; Echocardiography, Doppler, Color ; Chordae Tendineae/abnormalities/ultrasonography ; Aged

PURPOSE: To compare ultrasonographic size of morton's neuroma measured to actual size MATERIALS AND METHODS: Thirty-two (twenty-eight patients) of symptomic Morton's neuroma were measured by ultrasonography preoperatively and by manual method that designed by authors intraoperatively from January, 2002 to May, 2003. Two results were stastically compared by paired T-test RESULTS: Except one, all of cases were women and the mean age of patients was 50.6 years (32-62 years). The most common associated disease was hallux valgus deformity (17 cases). Six of Morton's neuromas located on second intermetatarsal space, sixteen of them did third intemetatarsal space and ten of neuromas located simultaneously second and third intermetatarsal space. The ultrasonographic size of neuroma averaged 3.48 mm and real size was 3.99 mm. The size checked by manual method was larger than by ultrasound with statical meaning CONCLUSION: The size of Morton's interdigital neuroma checked by ultrasonography on plantar aspect is smaller than real size. If you checked Morton's interdigital neuroma size by ultrasonography, you can suspect that real size of Morton's interdigital neuroma is larger than that size.
Congenital Abnormalities ; Female ; Hallux Valgus ; Humans ; Neuroma* ; Ultrasonography

Fetus in fetu is a very rare congenital abnormality in which one vertebrate fetus is enclosed within the abdomen of another fetus. With advancing ultrasound imaging technique, a few case of prenatal diagnosis is reported recently. A case of fetus in fetu with 6 X 6 X 4 cm sized cystic mass in the fetal retroperitoneum was diagnosed prenatally using ultrasound and confirmed by ultrasound and computer tomogram after delivery. This mass was removed completely from delivered baby and finally confirmed fetus in fetu by pathologic examination. Solid portion in this mass was composed of vertebral organization with limb bud, well-developed organ system.
Abdomen ; Congenital Abnormalities ; Fetus* ; Limb Buds ; Prenatal Diagnosis* ; Ultrasonography ; Vertebrates

Background: Down syndrome is a developmental disorder caused by an extra copy of chromosome 21, is a condition in which extra genetic material causes delays in the way a child develops, both mentally and physically. It affects about 1 in every 700 babies. The fetus having high risk for Down syndrome (OS) can be detected early by ultrasound. Objectives: The aim of the study is to find out some ultrasound markers that relate to OS fetus. Subjects and method: A descriptive study was carried out on 612 pregnant women with fetus \ufffd?12 weeks by ultrasound to detect abnormal markers in fetus. The fetus were diagnosed Down syndrome by analysis chromosome from amniocyte and monitor up to the neonate. Then, finding out association between OS fetus and ultrasound markers. Results: Among 612 pregnant women,36/12 pregnant women had abnormal imaging in fetus, 11/12 pregnant women had OS fetus. There were 12 pregnant women detected OS fetus. 6/12 OS fetus associated with the maker of nuchal skin fold (cut off 2: 3mm at the first trimester and 2: 6 mm at the second trimester): Detection rate (DR) was 50%; false positive rate (FOR): 0,83%. 3/12 OS fetus associated with the marker of duodenal atresia. DR was 25%; FOR: 0%. Conclusions: The two common markers associated with OS fetus: \r\n', u'the first marker was nuchal skin fold (with cut off 2: 3mm at the first trimester and > 6 mm at the second trimester) and the second marker was duodenal atresia. \r\n', u' \r\n', u'
Down Syndrome ; Fetus/ anatomy & ; histology ; abnormalities ; physiopathology ; ultrasonography

PURPOSE: It is to analyze the clinical utility of radiograhpic measurements for the insertional Achilles tendinitis patients who have Haglund's deformity and to evaluate the radiographic values related to Haglund's deformity in normal Korean population. MATERIALS AND METHODS: We used the angle of Fowler and Philip, parallel pitch lines (PPL) and Chauveaux-Liet (CL) angle as radiographic measurements. We examined 50 cases of insertional Achilles tendinits patients and another 50 cases of normal foot as a control. RESULTS: In normal feet, the mean value of angle of Fowler and Philip was 53.22 degrees, CL angle was -33.14 degrees and the PPL showed positive in 48%. In case of insertional Achilles tendinitis, the mean values were 55.39 degrees, -33.63 degrees, positive in 56% respectively. There were not statistically significant differences (p>0.05). CONCLUSION: The radiographic values for Haglund's deformity between insertional Achilles tendinitis feet and the normal feet did not show significant difference. Therefore, it seems that the clinical utility of radiographic measurements for the insertional Achilles tendinitis with Haglund's deformity is not useful and the development of new diagnostic methods as MRI and ultrasonography is required.
Congenital Abnormalities* ; Foot ; Humans ; Magnetic Resonance Imaging ; Tendinopathy* ; Ultrasonography

PURPOSE: It is to analyze the clinical utility of radiograhpic measurements for the insertional Achilles tendinitis patients who have Haglund's deformity and to evaluate the radiographic values related to Haglund's deformity in normal Korean population. MATERIALS AND METHODS: We used the angle of Fowler and Philip, parallel pitch lines (PPL) and Chauveaux-Liet (CL) angle as radiographic measurements. We examined 50 cases of insertional Achilles tendinits patients and another 50 cases of normal foot as a control. RESULTS: In normal feet, the mean value of angle of Fowler and Philip was 53.22 degrees, CL angle was -33.14 degrees and the PPL showed positive in 48%. In case of insertional Achilles tendinitis, the mean values were 55.39 degrees, -33.63 degrees, positive in 56% respectively. There were not statistically significant differences (p>0.05). CONCLUSION: The radiographic values for Haglund's deformity between insertional Achilles tendinitis feet and the normal feet did not show significant difference. Therefore, it seems that the clinical utility of radiographic measurements for the insertional Achilles tendinitis with Haglund's deformity is not useful and the development of new diagnostic methods as MRI and ultrasonography is required.
Congenital Abnormalities* ; Foot ; Humans ; Magnetic Resonance Imaging ; Tendinopathy* ; Ultrasonography