Congenital abnormalities

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Congenital abnormalities workshop : 

Congenital abnormalities workshop Ahmed Zaki MD, MRCOG, BSCCPa

PowerPoint Presentation: 

IT IS NOT ANALYSIS

PowerPoint Presentation: 

2002

CYSTIC HYGROMA: 

CYSTIC HYGROMA Lymphatic malformation due to absent connection of lymphatic to the venous system Varies in size Can occur in antenatal or postnatal period

SCALP MASS: 

SCALP MASS

Encephalocele: 

Encephalocele

Anencephally: 

Anencephally Absent skull vault & cerebral hemispheres Prominent eyes polyhydramnios

anencephally: 

anencephally

anencephally: 

anencephally

Hydrocephalus: 

Hydrocephalus

Hydrocehalus: 

Hydrocehalus

Hydrocephalus: 

Hydrocephalus

Holoprocencephally: 

Holoprocencephally Failure of forebrain (procencephalon) to divide into 2 cerebral hemisphere Single lobed brain +severe skull & facial defects

Holoprocencephally: 

Holoprocencephally

Holoprocencephally: 

Holoprocencephally Alobar: Bain not divided at all Semilobar: Somewhat divided Lobar: Considerable division (least severe)

Micro-ganthia: 

Micro-ganthia

Nuchal cord: 

Nuchal cord

Hydrancephally: 

Hydrancephally Absent cerebral hemispheres with Incomplete or absent falx cerebrii Sac like structure containing CSF

Nuchal thickness D.D.: 

Nuchal thickness D.D. Down syndrome Cardiac abnormalities Cystic hygroma Fetal hydrops Turner syndrome

Increased nuchal thickness: 

Increased nuchal thickness

Normal face: 

Normal face

Normal nose: 

Normal nose

Cleft lip & palate: 

Cleft lip & palate

Twin-twin transfusion: 

Twin-twin transfusion

PowerPoint Presentation: 

D.D.

Unbilical cord: 

Unbilical cord

Normal heart/aortic arch: 

Normal heart/aortic arch

Down syndrome: 

Down syndrome Cardiac abnormalitied Cong. Deudenal atresia Single palmer crease Low set ears

Congenital duodenal Artesia: 

Congenital duodenal Artesia

Turner syndrome: 

Turner syndrome Web neck Aortic arch disection Streak gonads Congenital bilat. Leg edema 45 XO - 46 XX/45XO

Omphalocele: 

Omphalocele

PowerPoint Presentation: 

Bowel herniation through umbilical orifice , covered with membrane 15%chromosomal abnormalities

Omphalocele: 

Omphalocele

Gastroschisis: 

Gastroschisis Isolated abdominal wall defect No chromosomal abnormalities

Gastroschisis: 

Gastroschisis

PUVS: 

PUVS Bladder outlet obstruction that is produced by a membrane within the posterior urethra It is a sort of obstructive uropathies

PUV: 

PUV

Key-hole sign: 

Key-hole sign

Hydronephrosis Thickened bladder/distended: 

Hydronephrosis Thickened bladder/distended

Sacroccoxygeal teratoma: 

Sacroccoxygeal teratoma

Fetal hydropes: 

Fetal hydropes

Ostegenesis imperfecta: 

Ostegenesis imperfecta

Club hand: 

Club hand normal hand

Club foot: 

Club foot

Diaphragmatic hernia: 

Diaphragmatic hernia

Amniotic band syndrome: 

Amniotic band syndrome

Limb amputation from amniotic band: 

Limb amputation from amniotic band

Extra-toe: 

Extra-toe

CAH: 

CAH

PowerPoint Presentation: 

Rare Inguinal mass Accumulation of peritoneal fluid Rare to be bilateral Treated by surgical excision

PowerPoint Presentation: 

Thank you

PUV-diagnosis: 

PUV-diagnosis Distended, thick walled bladder with a dilated posterior urethra – “Keyhole” app. Dilated ureters with b/l hydronephrosis Fluid volume/urine volume varies Presence of increased cortical echogenicity w/ or w/o cortical cysts may be consistent with renal dysplasia and a poor prognosis Cortical cysts are associated with irreverisble, advanced renal damage – fetus not amenable to intervention

prognosis: 

prognosis Outcome depends upon severity Classified as good or poor Poor prognostic factors include diagnosis before 24 wks, oligohydramnios, increased cortical echogenicity with cysts indicating renal dysplasia and marked hydronephrosis

Extrophy of the bladder: 

Extrophy of the bladder

Arachnoid cyst: 

Arachnoid cyst

Needle in amniotic cavity: 

Needle in amniotic cavity

PUVS-cont: 

PUVS-cont Affects only Incidence = 1 in 5,000 to 8,000 males males Most common cause of severe obstructive uropathies Etiology – may be failure of complete disintegration of the urogenital membrane