GYNECOLOGIC ONCOLOGY-GENERAL CONSIDERATIONS
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http://www.salafishare.com/22YCBRFI6Z4H/9LL07AO.pdf
Monday, November 12, 2007
Friday, November 9, 2007
CONGENITAL ANOMALIES - PHOTOS
OMPHALOCELE- This full-term male newborn was diagnosed antenatally to have omphalocele. No asociated congenital fetal malformation__________________________________________________________________
ACHONDROPLASIA - this full-term female with achondroplasia . there was no ssociated congenital malformation .___________________________________________________________________
NON-IMMUNE HYDROPES FETALIS- This is the 4th consecutive hydropic fetus of the same mother- thorough investigation for the pssible causes reveald nothing - pregnancy was terminated due to IUFD at the 26thweeks of pregnancy. Note the degree of pallor, edema that made the tissues inelastic and torn easily. ______________________________________________________
CONJOINT TWINS, UNION AT THE ABDOMEN AND PELVIS
These twins were 2 girls, full term, first met at emergency OB/GYN unit of mansura university hospital at 6-11-1996 and the patient was in labor, the cervix was fully dilated, fetal feet (2 feet) were easily felt by p/v, however, the buttocks above felt large and non familiar. CS was decided, and through a Pfannentiel incision and a lower uterine segment (which was extremely stretched) transverse incision the left leg of one plus the right of the other (in front of photo) were extracted first , followed by the other 2 ledg, then I have rotated them until the back of one twin was facing me then I delivered the first head then the second head. surprisingly, there was no extension in the uterine incision. the weight of the twins was 7800 grams.
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GASTROCHISIS: Note the site of the abdominal defect is beside the root of the umbilical cord (unlike the cases of omphalocele-see before). here the stomache the intestine are the herniated viscera.
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ANENCEPHALY:
This full term anencphalic male was first diagnosed when the patient came to the obstetrical emergency unit; labor ward. The condition is commoner in female fetuses than males.
NOTE
- the congested face (the commonest presentation is face.
- broad shoulders.
- absent vault; and the underlying cereberum.
This condition is incompatible with life. Being one of the neural tube defects, folate supplementation in the preconceptional period and during first trimester has arole in its prophylaxis.
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SPINA BIFIDA APERTA (OPEN SPINA BIFIDA):
NOTE THE DEFECT AT THE LOWER BACK
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