Gastroschisis in one twin neonate with extracorporeal liver
We report a rare case of gastroschisis with extracorporeal liver suspected on late first trimester ultrasound and confirmed with second trimester ultrasound and magnetic resonance imaging in one fetus in a twin pregnancy. Liver herniation is common in omphalocele, a membrane-covered abdominal wall defect associated with other congenital anomalies. However, it is highly uncommon in gastroschisis, an uncovered abdominal wall defect aside of the cord insertion. Presence of liver herniation complicates prenatal differentiation between omphalocele and gastroschisis. The twins were born at 31 weeks' gestation due to preterm labor. The baby was treated with a silo device, followed by biologic mesh and a wound vac with instillation of fluid to prevent desiccation. Ultimately, the baby died of sepsis, with multiorgan failure and polymicrobial infection.PMID:34732989 | PMC:PMC8545075 | DOI:10.1080/08998280.2021.1941686
Individuals with moderate to severe depressive symptoms are more likely to say they believe misinformation about COVID-19 vaccines than those without depressive symptoms, according to areport in JAMA Open Network. Moreover, individuals who believed misinformation about COVID vaccines were less likely to be vaccinated or be willing to get the vaccine.“As such, individuals already burdened with depression may be at a higher risk of COVID-19,” wrote lead author Roy H. Perlis, M.D., M.Sc., of Massachusetts General Hospital and colleagues.The researchers analyzed data from U.S. adults who responded to at least one o...
Conditions: Nerve Block; Efficiency; Femoral Nerve; Ultrasonography Interventions: Procedure: Femoral nerve blockade under ultrasound control with a peripheral nerve stimulator; Procedure: femoral nerve blockade under ultrasound control without a peripheral nerve stimulator Sponsor: Mogilev Regional Clinical Hospital Not yet recruiting
Condition: Acute Respiratory Failure Intervention: Other: lung utrasound asseessment Sponsor: Azienda Ospedaliera di Perugia Recruiting
Conclusions Maternal use of medications containing DM alone, GG alone or DM +GG showed positive associations with a small number of birth defects. These observations, which should be interpreted with caution due to small proportions of exposed mothers, may represent true signals or chance findings and warrant evaluation in future studies.
CONCLUSION: Additional genetic disorders are more frequent in those with omphalocele cases, and they are more frequently terminated during gestation that the gastroschisis fetuses. PMID: 30892123 [PubMed - as supplied by publisher]
This study was based on a retrospective study of 22 cases of AAWD collected between May 2009 and December 2014. Its purpose was to specify the importance of prenatal ultrasonography in the diagnosis and prognosis assessment of these defects. These 22 AAWDs consisted in 13 cases of omphalocele (including four cases of Beckwith-Wiedemann syndrome), four of gastroschisis, one of pentalogy of Cantrell, three of vesical exstrophy and one of cloacal exstrophy. Prenatal ultrasonography provided the diagnosis of 14 of these defects with a changing sensitivity with the gestational age varying from 17% in the first trimester to 71.4...
ABSTRACT: In North America, 4% to 10% of pregnant women take selective serotonin reuptake inhibitors (SSRIs) for depression. Some studies have reported an increased risk of congenital cardiovascular defects in the infants delivered to women who used SSRIs during pregnancy, although studies on these and other risks have yielded conflicting results. A previous study also reported that venlafaxine, a serotonin-norepinephrine reuptake inhibitor used as an alternative to SSRIs, was associated with some birth defects, but there are limitations in previous study on both SSRIs and venlafaxine, and further study is needed. The curr...
We present our experience in the contribution of three-dimensional ultrasonography, using the rendering mode, to the prenatal diagnosis of congenital anomalies including neurological defects (acrania/anencephaly, encephalocele, holoprosencephaly), facial anomalies (cyclopia and facial clefts), abdominal wall defects (omphalocele and gastroschisis) and defects of extremities (fetal muscle-skeletal dysplasias). Three-dimensional ultrasonography may contribute to improve the prenatal diagnosis with further revision of the fetal images, allowing a better prenatal counsel to the parents. PMID: 25745664 [PubMed - in process]