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INDEX OF TERMS

A
Abdominal calcications, 139–140, 139f Abdominal ectopic pregnancy, 231–232, 231f Abdominal mass, cystic, 63–64, 63f Abdominal pain
in acute appendicitis, 20 in heterotopic pregnancy, 158 mass in pregnancy with, 219–220, 219f in ovarian torsion, 244
Abdominal wall defect
gastroschisis as, 89–90 omphalocele as, 39–40
Abortion, spontaneous
cervical ectopic pregnancy versus, 174 retained products of conception following, 124 in subchorionic hemorrhage and, 96
in twin pregnancy, 154 Abruption, placental, 141–142, 141f Acardiac twin, 211–212, 211f Adenomyoma, 230 Adenomyosis, 229–230, 229f Adnexal mass
extraovarian, in ectopic pregnancy, 102
ovarian, 91–92
pain in pregnancy with, 219–220, 219f AFP. See α-Fetoprotein levels (AFP) Agenesis
corpus callosum, 217–218, 217f
renal, oligohydramnios in, 15f, 16
uterine, 210 Airway obstruction, congenital high, 195–196, 195f Allantoic cyst, 216 Alobar holoprosencephaly, 49–50, 49f Amniocentesis in aqueductal stenosis, 38 Amniotic band syndrome, 186 Amniotic uid abnormalities
oligohydramnios, 15–16, 15f (See also Oligohydramnios)
polyhydramnios, 73–74 (See also Polyhydramnios)
in utero infections and, 86 Anal atresia in VATER/VACTERYL association, 191–192 Anencephaly, 29–30, 29f Anorectal atresia, 151–152, 151f Aortic anomalies/abnormalities
in hypoplastic left heart syndrome, 78
in tetralogy of Fallot, 80 Appendicitis, 19–20, 19f Aqueductal stenosis, 37–38
hydrocephalus with, 54 Arcuate uterus, 42, 210 Arrhythmias, fetal hydrops with, 126 Arterial ow, ovarian torsion and, 244 Arteriovenous (AV) malformation, 25–26, 25f Ascites
in congenital high airway obstruction, 196
in ovarian hyperstimulation disorder, 203f, 204
urine, in bladder outlet obstruction, 234 ASD. See Atrial septal defect (ASD) Atresia
anal, in VATER/VACTERYL association, 191–192
duodenal, 31–32, 31f
enlarged stomach in, 60
in trisomy 21, 72, 180 esophageal, 145–146, 145f large bowel, 151–152, 151f laryngeal, 196
Atresia (Continued)
tracheal, 196
urethral, 234 Atrial septal defect (ASD), 87f, 88 Atrioventricular septal defect (AVSD), 87f, 88
cardiosplenic syndrome with, 239f, 240 Autosomal recessive polycystic kidney disease, 181–182, 181f AV. See Arteriovenous (AV) malformation AVSD. See Atrioventricular septal defect (AVSD)
B
Banana sign in myelomeningocele, 35f, 36 Beckwith-Wiedemann syndrome, 182 Beta-human chorionic gonadotropin
in chromosomal anomaly screening, 148
in ectopic pregnancy, 102
intrauterine gestational sac visibility and, 120 Bicornuate uterus, 41f, 42, 209f, 210
septate uterus versus, 209f, 210 Bilateral renal agenesis, oligohydramnios in, 15f, 16 Biparietal diameter (BPD), measurement of, 112 Bladder
“keyhole,” 233f, 234
posterior urethral valves and abnormalities of, 118 Bladder outlet obstruction, 233–234, 233f
due to cyst, 64 Bleeding. See Hemorrhage Blood ow, ovarian torsion and, 244 Bochdalek hernia, 93–94, 93f Bowed long bones in osteogenesis imperfecta, 156 Bowel
atresia of, 151–152, 151f
echogenicity in trisomy 21, 180
obstruction of, 135–136 Bowel-related cysts, 64 BPD. See Biparietal diameter (BPD), measurement of Breast cancer, tamoxifen therapy for, 1–4, 3f Bronchopulmonary sequestration, 48
C
Calcication, intraabdominal, 139–140, 139f Call-Exner bodies, 226 Calvarial abnormalities, 111–112, 111f Cancer
breast, tamoxifen therapy for, 1–4, 3f
endometrial, 83–84
ovarian, 17–18, 17f, 108
uterine, 127–128, 127f Cardiomegaly in twin-twin transfusion syndrome, 178 Cardiosplenic syndrome, 239–240, 239f CCAM/CPAM. See Congenital cystic adenomatoid malformation (CCAM)/
congenital pulmonary airway malformation (CPAM) CDH. See Congenital diaphragmatic hernia (CDH) Cebocephaly in holoprosencephaly, 50 Central nervous system (CNS) anomalies
arteriovenous malformation, 25–26, 25f choroid plexus cyst, 11–12 encephalocele, 187–190, 189f lemon sign in, 111f, 112 polyhydramnios with, 74 porencephaly, 213–214, 213f in trisomy 13, 169f, 170 in trisomy 18, 110 in utero infection and, 86
Cerebral hemorrhage, 131–132, 131f
Page numbers followed by f refer to gures.
247
INDEX OF TERMS
Cervix
ectopic pregnancy in, 173–174, 173f incarcerated uterus and, 208
incompetent, 129–130, 129f Cesarean section scar, ectopic pregnancy in, 65f, 66 CHAOS. See Congenital high airway obstruction (CHAOS) Chiari malformation
hydrocephalus in, 54
lemon sign in, 111f, 112 Cholelithiasis, fetal, 160 Chorioangioma, placental, 75f, 76 Choroid plexus
cyst of, 11–12, 109–110, 109f
dangling, in hydrocephalus, 54 Chylothorax, fetal, 6 Circumvallate placenta, 221–222, 221f Cleft lip and palate, 143–144, 143f
in holoprosencephaly, 50 Cleft sternum, 202 Clenched hands in trisomy 18, 109f, 110 Cloverleaf skull, 111f, 112
in thanatophoric dysplasia, 224 Clubfoot, 61–62, 61f
in trisomy 13, 170
in trisomy 18, 109f, 110 CNS. See Central nervous system (CNS) Color Doppler imaging
in endometrial cancer, 84
in fetal demise, 100
in gestational trophoblastic disease, 172
in ovarian torsion, 244
in ovarian vein thrombosis, 150
in pericardial effusion, 68
in placenta accreta, 134
in pulmonary sequestration, 56
in single umbilical artery, 98
in tetralogy of Fallot, 80
in umbilical cord cyst, 216
in umbilical vein varix, 242
in velamentous insertion of umbilical cord, 238
in ventricular septal defect, 82, 88 Colpocephaly, 217f, 218 Computed tomography (CT)
in endometritis and endomyometritis, 205f, 206
in ovarian vein thrombosis, 150 Conception, retained products of, 123–124, 123f Congenital cystic adenomatoid malformation (CCAM)/congenital pulmonary
airway malformation (CPAM), 47–48, 47f
pulmonary sequestration versus, 56 Congenital diaphragmatic hernia (CDH), 93–94, 93f Congenital heart defects
dextraposed transposition of great arteries, 161–162, 161f
Ebstein anomaly, 103–104, 103f
hypoplastic left heart syndrome, 77–78, 77f
tetralogy of Fallot, 79–80 Congenital high airway obstruction (CHAOS), 195–196, 195f Congenital uterine anomalies, 41–42, 41f, 209–210, 209f Conjoined twins, 45–46, 45f Conotruncal abnormalities, 113–114 Contraceptive device, intrauterine, 57–58, 57f
endometritis with, 206 Copper 7 intrauterine contraceptive device, 58 Cordocentesis in fetal goiter, 236 Cornual ectopic pregnancy, 193–194, 193f Corpus callosum agenesis, 217–218, 217f Corpus luteum cyst
in ectopic pregnancy, 102
hemorrhagic, 105–108 CPAM. See Congenital cystic adenomatoid malformation (CCAM)/congenital
pulmonary airway malformation (CPAM) CT. See Computed tomography (CT) Cul-de-sac, pregnancy in, 208
Cyclopia in holoprosencephaly, 49f, 50 Cyst
abdominal, 63–64, 63f bowel-related, 64 choroid plexus, 11–12, 109–110, 109f corpus luteum, in ectopic pregnancy, 102 decidual, 66 genitourinary, 64 ovarian, 7–8, 7f, 64, 105–108
dermoid, 43–44, 91–92, 91f in polycystic disease, 51–52, 51f theca-lutein, 172
renal
in autosomal recessive polycystic kidney disease, 181–182,
181f
in multicystic dysplastic kidney, 69–70, 69f
umbilical cord, 215–216, 215f Cystic hygroma, 13–14, 13f Cystic teratoma, extrauterine, 43–44
D
Dandy-Walker complex, 23–24, 23f Decidual cast, 65f, 66 Decidual cyst, 66 Delivery
endometritis after, 205–206
obligate presentation of umbilical cord in, 197–198, 197f
ovarian vein thrombosis after, 149–150, 149f Demineralization of skull, in osteogenesis imperfecta, 156 Demise, fetal, 99–100, 99f
in hydrothorax, 6
in twin gestation, 153–154 Dermoid cyst of ovary, 43–44, 43f, 91–92, 91f Dermoid plug, 92 DES-related uterine anomalies, 42 Dextraposed transposition of great arteries (d-TGA), 161–162,
161f
Diaphragmatic hernia, 93–94, 93f
enlarged stomach in, 60 Dichorionic-diamniotic twins, 46, 154
fetal loss in, 154 Didelphic uterus, 42 Diethylstilbestrol-related uterine anomalies, 42, 210 Digitalis for acardiac twin, 212 Dilation, large bowel, 152 Doppler imaging
color
in endometrial cancer, 84 in fetal demise, 100 in gestational trophoblastic disease, 172 in ovarian torsion, 244 in ovarian vein thrombosis, 150 in pericardial effusion, 68 in placenta accreta, 134 in pulmonary sequestration, 56 in single umbilical artery, 98 in tetralogy of Fallot, 80 in umbilical cord cyst, 216 in umbilical vein varix, 242 in velamentous insertion of umbilical cord, 238
in ventricular septal defect, 82, 88 in ovarian cancer, 17f, 18 power, in single umbilical artery, 98 in retained products of conception, 123f, 124 of umbilical artery, 115–116, 115f
in fetal hydrops, 125f
“Double bubble” sign in duodenal atresia, 31f, 32
in trisomy 21, 180
Double decidual reaction, 66 Double-outlet right ventricle, 162 Down syndrome. See Trisomy 21
248
INDEX OF TERMS
d-TGA. See Dextraposed transposition of great arteries (d-TGA) Duodenal atresia, 31–32, 31f
enlarged stomach in, 60
in trisomy 21, 72, 180 Dwarsm, thanatophoric, 112, 223–224, 223f Dysplasia
renal multicystic, 69–70, 69f
thanatophoric, 223–224, 223f
cloverleaf skull in, 112
E
Early intrauterine gestational sac, 119–120, 119f Ebstein anomaly, 103–104, 103f Echogenic intracardiac focus (EIF), 71f, 72 Echogenicity
of bowel in trisomy 21, 180
of subchorionic hemorrhage, 96 Echogenic kidney, 182 Echogenic lung mass, 47–48, 47f Ectopia cordis, 201–202, 201f Ectopic pregnancy
abdominal, 231–232, 231f
cervical, 173–174, 173f
in cesarean section scar, 65f, 66
cornual, 193–194, 193f
incarcerated uterus versus, 208
rupture of, 101–102, 101f
unruptured, 65–66, 65f Ectopic ureterocele, 199–200 Edward’s syndrome. See Trisomy 18 Effusion
pericardial, 67–68, 67f
pleural, 5–6, 5f EIF. See Echogenic intracardiac focus (EIF) Embryonic demise, 99–100, 99f Encephalocele, 187–190, 189f Endocardial cushion defect, 87–88, 87f
in duodenal atresia, 32
in trisomy 21, 180
ventricular septal defect versus, 82 Endometrial gas, 206 Endometrioma, 184 Endometriosis, 183–184, 183f Endometritis, 205–206, 205f Endometrium
cancer of, 83–84
imaging of, 165f, 166
polyps of, 165–166, 165f
sex cord-stromal tumors and, 226
tamoxifen-associated abnormalities of, 1–4, 3f
thickness of, 84, 166
in retained products of conception, 124 Endomyometritis, 205–206 Enteric duplication cyst, 64 Epithelial elements in dermoid cyst, 92 Esophageal atresia, 145–146, 145f Estriol level in triple screen test, 148 Ethmocephaly in holoprosencephaly, 50 EXIT procedure, 196 Extralobar pulmonary sequestration, 56 Extrauterine mass in pregnancy, 43–44, 43f
F
Facial anomalies
cleft lip and palate as, 143–144, 143f in holoprosencephaly, 49f, 50 in trisomy 13, 169f, 170
Fallopian tube dilation in pelvic inammatory disease, 167f,
168 Fetal demise, 99–100, 99f
in hydrothorax, 6 in twin gestation, 153–154
Fetal hemorrhage in succenturiate lobe, 176 Fetal hydrops, 13–14, 13f
in congenital cystic adenomatoid malformation /congenital pulmonary
airway malformation, 47f congenital high airway obstruction with, 196 nonimmune, 14, 125–126, 125f pericardial effusions with, 68 pleural effusions with, 6 in sacrococcygeal teratoma, 22 in trisomy 21, 180
Fetal pole visualization, 120 α-Fetoprotein levels (AFP)
in anencephaly, 30 in placental infarct, 76 in triple screen test, 148
Fetus
anencephaly in, 29–30, 29f aqueductal stenosis in, 37–38, 37f arteriovenous malformation in, 25–26, 25f bladder abnormalities and gender of, 118 bladder outlet obstruction in, 233–234, 233f cardiac rhabdomyoma in, 163–164, 163f cardiosplenic syndrome in, 239–240 choroid plexus cyst in, 11–12, 11f cleft lip and palate in, 143–144, 143f clubfoot in, 61–62, 61f congenital cystic adenomatoid malformation /congenital pulmonary airway
malformation in, 47–48, 47f congenital diaphragmatic hernia in, 93–94, 93f congenital high airway obstruction in, 195–196, 195f corpus callosum agenesis in, 217–218, 217f cystic hygroma in, 13–14, 13f Dandy-Walker complex in, 23–24, 23f duodenal atresia in, 31–32, 31f ectopia cordis in, 201–202, 201f ectopic ureterocele in, 199–200 encephalocele in, 187–190, 189f endocardial cushion defect in, 87–88, 87f esophageal atresia in, 145–146, 145f gallbladder visualization in, 159–160, 159f gastroschisis in, 89–90, 89f goiter in, 235–236, 235f heterotaxy syndrome in, 239–240, 239f hydranencephaly in, 121–122, 121f hydrocephalus in, 53–54, 53f hypoplastic left heart syndrome in, 77–78, 77f intracranial hemorrhage in, 131–132, 131f large bowel atresia in, 151–152, 151f limb-body wall complex in, 185–186, 185f liver calcication in, 139–140 meconium pseudocyst in, 137–138, 137f myelomeningocele, 35–36, 35f omphalocele in, 39–40 osteogenesis imperfecta in, 155–156, 155f ovarian cysts in, 7–8, 7f pleural effusions in, 5–6, 5f polycystic kidney disease in, 181–182, 181f porencephaly in, 213–214, 213f posterior urethral valves in, 117–118, 117f sacrococcygeal teratoma in, 21–22, 21f small bowel obstruction in, 135–136, 135f stomach enlargement in, 59–60 subdural hematoma in, 227–228, 227f tetralogy of Fallot, 79–80, 79f thanatophoric dysplasia in, 223–224, 223f transposition of great arteries in, 161–162, 161f trisomy 13 (See Trisomy 13) trisomy 18 in (See Trisomy 18) trisomy 21 in (See Trisomy 21) in twin pregnancy, 45–46 (See also Twin gestation) ureteropelvic junction obstruction in, 9–10, 9f in utero infection in, 85–86, 85f
249
INDEX OF TERMS
Fetus (Continued)
VATER/VACTERYL association in, 191–192, 191f
ventricular septal defect in, 81–82, 81f Fetus papyraceus, 154 Fever in retained products of conception, 124 Fibroids, uterine, 127f, 128 Fibroma, cardiac, 164 Fistula, tracheoesophageal, 191–192 Five-short-axis view of heart, 114 Folic acid deciency in anencephaly, 30 Fractures in osteogenesis imperfecta, 155f, 156 Fraternal twins, 46 Funneling, cervical, 130
G
Gallbladder, fetal, 159–160, 159f Gallstones, fetal, 140, 160 Gas, endometrial, 206 Gastrointestinal system abnormalities
polyhydramnios with, 74
umbilical cord cysts associated with, 216 Gastroschisis, 89–90, 89f Gender, fetal, bladder abnormalities and, 118 Genitourinary system
cysts of, 64
umbilical cord cysts associated with anomalies of, 216 Gestational sac
in cervical ectopic pregnancy, 174
in cornual ectopic pregnancy, 193f, 194
early intrauterine, 119–120, 119f
imaging of to rule out ectopic pregnancy, 66 Gestational trophoblastic disease, 171–172, 171f Goiter, fetal, 235–236, 235f Gonadotropin, human chorionic
in chromosomal anomaly screening, 148
in ectopic pregnancy, 102
intrauterine gestational sac visibility and, 120
ovarian hyperstimulation syndrome associated with administration of,
204 Granulosa-stromal cell ovarian tumors, 225f, 226 Graves’ disease, 236 Gray-scale ultrasound
in ovarian cancer, 17f, 18 in ovarian torsion, 243f, 244
Growth restriction, intrauterine
in single umbilical artery, 98 in trisomy 13, 170 umbilical artery Doppler imaging in, 116
H
Hair in dermoid cyst, 92 Hands, clenched, in trisomy 18, 109f, 110 hCG. See Human chorionic gonadotropin (hCG) Heart
anomalies/malformations of (See also Congenital heart defects)
ectopia cordis as, 201–202, 201f enlarged stomach with, 60 esophageal atresia with, 146 fetal hydrops with, 126 heterotaxy syndrome and cardiosplenic syndrome as, 239–240, 239f hypoplastic left heart syndrome with, 78 pericardial effusion with, 68 in trisomy 13, 169f, 170 in trisomy 18, 110 in trisomy 21, 72, 180 in utero infection and, 86 in VACTERYL association, 192
ventricular septal defect with, 82 ve-short-axis view of, 114 hypoplastic left heart syndrome of, 77–78, 77f rhabdomyoma of, 163–164, 163f three-vessel view of, 113–114, 113f
Hemangioma, cardiac, 164 Hematoma
subchorionic, 96 subdural, 227–228, 227f
Hemorrhage
in abdominal ectopic pregnancy, 232 in adenomyosis, 230 in cervical ectopic pregnancy, 174 in choroid plexus cyst, 12 in corpus luteum cyst, 105–108 endometrial cancer and, 84 endometrial polyps, 166 intracranial, 131–132, 131f
subdural hematoma as, 228 in placenta accreta, 134 placental, 141–142 in placenta previa, 28 in retained products of conception, 124 subchorionic, 95–96, 95f in succenturiate lobe, 176 uterine, 166
Hernia, diaphragmatic, 93–94, 93f
enlarged stomach in, 60
Heterotaxy syndrome, 239–240, 239f Heterotopic pregnancy, 157–158, 220 High airway obstruction, congenital, 195–196, 195f HIV. See Human immunodeciency virus (HIV) infection HLHS. See Hypoplastic left heart syndrome (HLHS) Holoprosencephaly, 49–50, 49f
in trisomy 13, 169f, 170
Human chorionic gonadotropin (hCG)
in chromosomal anomaly screening, 148 in ectopic pregnancy, 102 intrauterine gestational sac visibility and, 120 ovarian hyperstimulation syndrome associated with administration of,
204 Human immunodeciency virus (HIV) infection, 86 Hybrid lesions, pulmonary, 48, 56 Hydatidiform mole, 171–172, 171f
retained products of conception versus, 124 Hydranencephaly, 121–122, 121f Hydrocephalus, 53–54, 53f
in aqueductal stenosis, 38
in thanatophoric dysplasia, 224 Hydronephrosis
in bladder outlet obstruction, 234
multicystic dysplastic kidney and, 70 Hydrops, 13–14, 13f
in congenital cystic adenomatoid malformation /congenital pulmonary
airway malformation, 47f congenital high airway obstruction with, 196 nonimmune, 14, 125–126, 125f pericardial effusions with, 68 pleural effusions with, 6 in sacrococcygeal teratoma, 22 in trisomy 21, 180
Hydrosalpinx, 168 Hydrothorax, fetal, 6
in pulmonary sequestration, 56
Hygroma, cystic, 13–14, 13f Hyperplasia, endometrial, 84, 166 Hyperstimulation syndrome, ovarian, 203–204, 203f Hypoplastic left heart syndrome (HLHS), 77–78, 77f Hypoplastic uterus, 42, 210 Hypotelorism in holoprosencephaly, 50 Hypothyroidism, fetal, 236 Hypovolemic shock in ovarian hyperstimulation disorder, 204
I
Identical twins, 46 Impedance, umbilical artery, 116 Incarcerated uterus, 207–208, 207f
250
INDEX OF TERMS
Incompetent cervix, 129–130, 129f Indeterminate situs, 240 Infantile polycystic kidney disease, 181–182, 181f Infarction, placental, 75–76, 75f Infection
due to intrauterine contraceptive device, 57f, 58 of endometrial canal, 205–206, 205f fetal hydrops due to, 126 ovarian vein thrombosis due to, 150 pelvic inammatory disease due to, 168
in utero, 85–86, 85f Infertility, polycystic ovarian disease and, 52 Infundibular pulmonic stenosis, 80 International standard (IS), 120 Interstitial ectopic pregnancy, 193–194, 193f Interstitial line sign, 193f, 194 Intraabdominal calcications, 139–140, 139f Intracranial hemorrhage, 131–132, 131f
subdural hematoma as, 228 Intradecidual sign, 66 Intralobar pulmonary sequestration, 56 Intraparenchymal cerebral hemorrhage, 132 Intrauterine contraceptive device (IUCD), 57–58,
57f
endometritis with, 206 Intrauterine growth restriction (IUGR)
in single umbilical artery, 98
in trisomy 13, 170
umbilical artery Doppler imaging in, 116 Intrauterine pregnancy (IUP), normal versus abnormal,
120 Intraventricular hemorrhage, 132 In utero infection, 85–86, 85f IS. See International standard (IS) IUCD. See Intrauterine contraceptive device (IUCD) IUGR. See Intrauterine growth restriction (IUGR)
K
“Keyhole” bladder, 233f, 234 Kidney
autosomal recessive polycystic disease of, 181–182,
181f dysplasia in VATER/VACTERYL association, 192 multicystic dysplastic, 69–70, 69f oligohydramnios in agenesis of, 15f, 16
Kleeblattschädel, 111f, 112
L
Large bowel atresia, 151–152, 151f Laryngeal atresia, 196 Left-sided Bochdalek hernia, 93–94, 93f Leiomyoma, uterine, 127f, 128 Leiomyosarcoma, uterine, 127f, 128 Lemon sign, 111f, 112
in myelomeningocele, 35f, 36
Length, cervical, 130 Limb anomalies in VACTERYL association, 192 Limb-body wall complex, 185–186, 185f
omphalocele versus, 40
Lip, cleft, 143–144, 143f
in holoprosencephaly, 50
Lipoleiomyoma, uterine, 127f, 128 Lithium therapy, Ebstein anomaly associated with,
104 Liver calcication in fetus, 139–140 Long bones
bowing in osteogenesis imperfecta, 156
short in trisomy 21, 180 Lower pole moiety, ectopic ureterocele and, 200 Lumbosacral mass
in myelomeningocele, 35–36
in sacrococcygeal teratoma, 21–22
Lungs
echogenic mass in, 47–48, 47f sequestration in, 55–56
congenital cystic adenomatoid malformation /congenital pulmonary
airway malformation versus, 48
Luteinization in ovarian hyperstimulation disorder, 204
M
Magnetic resonance imaging (MRI)
in acute appendicitis, 20 in adenomyosis, 229f, 230 in congenital high airway obstruction, 195f, 196 in Ebstein anomaly, 103–104, 103f in endometriosis, 183f, 184 in goiter, 235f, 236 in ovarian mass, 18 in ovarian vein thrombosis, 150 in placenta accreta, 133f, 134 in polycystic kidney disease, 181f, 182
in uterine anomalies, congenital, 210 Marginal cord insertion, 238 MCA. See Middle cerebral artery (MCA) MCDK. See Multicystic dysplastic kidney (MCDK) Mean sac diameter (MSD), 120 Meckel-Gruber syndrome, 182, 190 Meconium ileus, 136 Meconium pseudocyst, 64, 137–138, 137f Membrane rupture, spontaneous, oligohydramnios in, 15f, 16 Mesenteric cyst, 64 Methotrexate therapy for ectopic pregnancy, 102
abdominal, 232
cervical, 174 Middle cerebral artery (MCA), Doppler imaging of, 116 Mirena intrauterine contraceptive device, 58 “Mirror syndrome,” 48 Miscarriage. See Spontaneous abortion M-mode ultrasound in fetal demise, 99f, 100 Molar pregnancy, 171–172, 171f
retained products of conception versus, 124 Monochorionic-diamniotic twins, 46, 154
fetal loss in, 154 Monochorionic-monoamniotic twins, 46, 154
fetal loss in, 154 Monochorionic twinning
acardiac twin in, 212
twin-twin transfusion in, 177–178 Mortality, perinatal. See Fetal demise MRI. See Magnetic resonance imaging (MRI) MSD. See Mean sac diameter (MSD) Müllerian duct anomalies, 42 Multicystic dysplastic kidney (MCDK), 69–70, 69f Multiple pregnancies, velamentous insertion of umbilical cord in, 238 Myelomeningocele, 35–36, 35f Myoma
cardiac, 163–164, 163f
uterine, 127f, 128 Myometrium
in adenomyosis, 230
cornual ectopic pregnancy and, 193f, 194
infection into, 205–206
N
Nasal bone, absent or short in trisomy 21, 72, 180 “Necklace” sign, 204 Neoplasm
endometrial, 83–84
ovarian, 17–18, 17f, 44, 108
sex-cord stromal tumor, 225–226, 225f
uterine, 127–128, 127f Neural tube defects
anencephaly as, 29–30, 29f
myelomeningocele as, 35–36, 35f
251
INDEX OF TERMS
Nonimmune fetal hydrops, 14, 125–126, 125f Nuchal ligament in cystic hygroma, 14 Nuchal thickness/thickening
fetal hydrops and, 126 measurement of, 34, 147–148, 147f in second trimester, 33–34, 33f in trisomy 21, 72, 179f, 180
Nyberg cleft lip and palate classication, 144
O
Obligate cord, 197–198, 197f Obstruction
bladder, 233–234, 233f
due to cyst, 64
posterior urethral valves and, 118 congenital high airway, 195–196, 195f large bowel, 152 small bowel, 135–136, 135f ureteropelvic junction, 9–10, 9f
OHSS. See Ovarian hyperstimulation syndrome (OHSS) Oligohydramnios, 15–16, 15f
in multicystic dysplastic kidney, 70 in polycystic kidney disease, 181f, 182 in twin-twin transfusion syndrome, 177f, 178 umbilical artery Doppler imaging in, 116
Omental cyst, 64 Omphalocele, 39–40
gastroschisis versus, 90
Omphalomesenteric duct cyst, 216 Osteogenesis imperfecta, 155–156, 155f Ovarian hyperstimulation syndrome (OHSS), 203–204, 203f Ovarian vein thrombosis, 149–150, 149f Ovary
cancer of, 17–18, 17f, 108 cysts of, 7–8, 7f, 64, 105–108
dermoid, 43–44, 43f, 91–92, 91f
in polycystic disease, 51–52, 51f
theca-lutein, 172 sex-cord stromal tumor of, 225–226, 225f torsion of, 220, 243–244, 243f
Overriding aorta in tetralogy of Fallot, 80 Ovulation induction, ovarian hyperstimulation syndrome in, 204
P
Pain
abdominal
in acute appendicitis, 20
in heterotopic pregnancy, 158
mass in pregnancy with, 219–220, 219f
in ovarian torsion, 244 pelvic, in ovarian cysts, 108
Palate, cleft, 143–144, 143f ParaGard intrauterine contraceptive device, 58 Parenchymal cerebral hemorrhage, 132 Patent urachus, umbilical cord cysts associated with, 216 PCOD. See Polycystic ovarian disease (PCOD) Pelvic inammatory disease (PID), 167–168, 167f
endometritis in, 206
Pelvic mass, cystic, 64 Pelvic pain in ovarian cysts, 108 Pentalogy of Cantrell, 202 Perforation, with intrauterine contraceptive device, 58 Pericardial effusion, fetal, 67–68, 67f Perinatal mortality. See Fetal demise Peritonitis, 20 PID. See Pelvic inammatory disease (PID) Placenta
abnormalities of, in single umbilical artery, 98 abruption of, 141–142, 141f accreta, 133–134, 133f circumvallate, 221–222, 221f extrachorialis, 221–222, 221f
Placenta (Continued)
infarction of, 75–76, 75f previa, 27–28, 27f, 134
succenturiate lobe of, 175–176, 175f Plasma protein, pregnancy-associated, in Down syndrome screening, 148 Platyspondylisis, 156 Pleural effusion, fetal, 5–6, 5f POC. See Products of conception (POC), retained Pole, fetal, visualization of, 120 Polycystic kidney disease, autosomal recessive, 181–182, 181f Polycystic ovarian disease (PCOD), 51–52, 51f Polyhydramnios, 73–74, 73f
in esophageal atresia, 146
in fetal goiter, 236
in small bowel obstruction, 136
in thanatophoric dysplasia, 224
in twin-twin transfusion syndrome, 177f, 178 Polyps, endometrial, 165–166, 165f
in tamoxifen therapy, 4 Polysalpinx, 168 Porencephaly, 213–214, 213f Posterior urethral valves (PUVs), 117–118, 117f
bladder outlet obstruction and, 234
obstruction due to cyst, 64 Postmenopausal women
endometrial cancer in, 84
ovarian cyst in, 108 Postpartum period
endometritis in, 205–206, 205f
ovarian vein thrombosis in, 149–150, 149f Power Doppler imaging in single umbilical artery, 98 Pregnancy
appendicitis in, 19–20, 19f
cervical incompetence in, 129–130, 129f
circumvallate placenta in, 221–222, 221f
ectopic, 65–66, 65f
abdominal, 231–232, 231f cervical, 173–174, 173f in cesarean section scar, 65f, 66 cornual, 193–194, 193f incarcerated uterus versus, 208
rupture of, 101–102, 101f extrauterine mass in, 43–44, 43f heterotopic, 157–158, 220 incarcerated uterus in, 207–208, 207f mass and pain during, 219–220, 219f molar, 171–172, 171f
retained products of conception versus, 124 oligohydramnios in, 15–16, 15f (See also Oligohydramnios) ovarian cancer in, 17–18, 17f ovarian torsion in, 244 placenta accreta in, 133–134, 133f placental abruption in, 141–142, 141f placental infarct in, 75–76, 75f placenta previa in, 27–28, 27f polyhydramnios in, 73–74, 73f retained products of conception in, 123–124, 123f single umbilical artery in, 97–98, 97f subchorionic hemorrhage in, 95–96, 95f succenturiate lobe in, 175–176, 175f trauma in, subdural hematoma due to, 228 umbilical cord in (See Umbilical cord) uterine anomalies and, 41–42, 41f in utero infection in, 85–86
Pregnancy-associated plasma protein in Down syndrome screening, 148 Proboscis in trisomy 13, 170 Products of conception (POC), retained, 123f Prune-belly syndrome, 234 Pseudocyst
meconium, 64, 137–138, 137f umbilical cord, 216
Pseudogestational sac, 65f, 66
252
INDEX OF TERMS
Pulmonary artery in ve-short-axis view of heart, 114 Pulmonary sequestration, 55–56
congenital cystic adenomatoid malformation /congenital pulmonary airway
malformation versus, 48 Pulmonic stenosis in tetralogy of Fallot, 80 Pulsed Doppler imaging in ovarian torsion, 244 PUVs. See Posterior urethral valves (PUVs) Pyelectasis in trisomy 21, 72, 179f, 180
R
Radial dysplasia in VATER/VACTERYL association, 192 Renal agenesis, oligohydramnios in, 15f, 16 Retained products of conception, 123–124, 123f Retroplacental hemorrhage, 142 Rhabdomyoma, cardiac, 163–164 Right ventricle
double-outlet, 162 Ebstein anomaly and, 104
hypertrophy in tetralogy of Fallot, 80 Rocker-bottom foot in trisomy 18, 109f, 110 Rokitansky protuberance, 92 Ruge-Simon syndrome, 194 Rupture
of ectopic pregnancy, 101–102, 101f
of membranes, spontaneous, oligohydramnios in, 15f, 16
S
Sacrococcygeal teratoma, 21–22, 21f
fetal hydrops with, 126 Sandal gap deformity in trisomy 21, 179f, 180 Sarcoma, uterine, 127f, 128 Schizencephaly, 214 Scoliosis in limb-body wall complex in, 186 S/D ratio. See Systolic velocity/end-diastolic velocity (S/D ratio) Septal defect
atrial, endocardial cushion defect with, 88
atrioventricular, 87f, 88
cardiosplenic syndrome with, 239f, 240
ventricular, 81–82, 81f, 87f, 88
dextraposed transposition of great arteries with, 162 tetralogy of Fallot with, 80 in trisomy 13, 170
Septate uterus, 42
bicornuate uterus versus, 209f, 210 Sequestration, pulmonary, 55–56
congenital cystic adenomatoid malformation /congenital pulmonary airway
malformation versus, 48 Sertoli-Leydig cell tumor, 226 Sex-cord stromal tumor, 225–226, 225f Shock, hypovolemic, in ovarian hyperstimulation disorder, 204 Shunting
in acardiac twinning, 212
in twin-twin transfusion syndrome, 178 Siamese twins, 45–46, 45f Single umbilical artery, 97–98, 97f Situs ambiguus, 240 Skeletal dysplasia, 224 Skin in dermoid cyst, 92 Skull abnormalities, 111–112
cloverleaf, 111f, 112
in thanatophoric dysplasia, 224
in osteogenesis imperfecta, 156 Small bowel obstruction, 135–136, 135f Sonohysterogram imaging of endometrial polyp, 166 Spalding sign, 100, 111f, 112, 154 Spina bida, 35–36, 35f Spontaneous abortion
cervical ectopic pregnancy versus, 174
retained products of conception following, 124
in subchorionic hemorrhage and, 96
in twin pregnancy, 154 Spontaneous rupture of membranes (SROM), oligohydramnios in, 15f, 16
SROM. See Spontaneous rupture of membranes (SROM) Stein-Luventhal syndrome, 52 Sternum, cleft, 202 Stomach, fetal
abnormal position of in heterotaxy syndrome, 240 absence of, 60
in esophageal atresia, 146
enlargement of, 59–60 Strawberry-shaped skull, 112 Stroke, ovarian hyperstimulation disorder and, 204 Stromal tumor, sex-cord, 225–226, 225f Struma ovarii, 92 Subchorionic hemorrhage, 95–96, 95f Subdural hematoma, 227–228, 227f Subdural hemorrhage, 132 Succenturiate lobe, 175–176, 175f Systolic velocity/end-diastolic velocity (S/D ratio), 116
T
Tachyarrhythmias, fetal hydrops with, 126 Tamoxifen therapy, 1–4, 3f Teeth in dermoid cyst, 92 Teratoma
cardiac, 164
extrauterine cystic, 43–44, 43f
fetal hydrops with, 126
ovarian, 44, 92
torsion due to, 244
sacrococcygeal, 21–22, 21f Tetralogy of Fallot, 79–80 TGA. See Transposition of great arteries (TGA) Thanatophoric dysplasia/dwarsm, 223–224, 223f
cloverleaf skull in, 112 Theca-lutein ovarian cysts, 172 Thecoma-broma ovarian tumor, 225f, 226 Three-dimensional ultrasound in congenital uterine anomalies, 210 Three-vessel view of heart, 113–114, 113f Thrombosis, ovarian vein, 149–150, 149f “Tip of the iceberg” sign, 92 TORCH infections
abdominal calcications due to, 140
fetal hydrops due to, 126 Torsion, ovarian, 220, 243–244, 243f Tracheal atresia, 196 Tracheoesophageal stula in VATER/VACTERYL association, 191–192 Transposition of great arteries (TGA), 161–162, 161f
ve-short-axis view of heart in, 114 Trauma in pregnancy, subdural hematoma due to, 228 Tricuspid valve
Epstein anomaly of, 103–104, 103f
regurgitation in twin-twin transfusion syndrome, 177f, 178 Triple screen test, 148 Trisomy 13, 169–170, 169f
clubfoot in, 62
gallbladder enlargement in, 160
holoprosencephaly in, 50
single umbilical artery in, 98 Trisomy 18, 109–110
choroid plexus cyst in, 12, 109–110, 109f
clubfoot in, 62
single umbilical artery in, 98
strawberry-shaped skull in, 112 Trisomy 21, 71–72, 71f, 179–180
nuchal thickening in, 34, 148
pericardial effusion in, 68
serum markers in, 148 Trisomy E. See Trisomy 18. Trophoblastic disease, gestational, 171–172, 171f TTT syndrome. See Twin-twin transfusion (TTT) syndrome Tubal ring in ectopic pregnancy, 102 Tuberous sclerosis, cardiac myomas with, 164 Tumor. See Neoplasm
253
INDEX OF TERMS
Turner syndrome, 14 Twin gestation, 153–154, 153f
acardiac twin in, 211–212, 211f conjoined twins in, 45–46, 45f fetal demise in, 154 fraternal twins in, 46 identical twins in, 46 monochorionic-diamniotic twins in, 46
monochorionic-monoamniotic twins in, 46 Twin-twin transfusion (TTT) syndrome, 177–178, 177f Two-vessel umbilical cord, 97–98, 97f Type I collagen, defective, in osteogenesis imperfecta, 156
U
Umbilical artery
Doppler imaging of, 115–116, 115f
in fetal hydrops, 125f
single, 97–98, 97f Umbilical cord
cysts of, 215–216, 215f
marginal insertion of, 238
obligate, 197–198, 197f
two-vessel, 97–98, 97f
velamentous insertion of, 237–238, 237f Umbilical vein varix, 241–242 Unicornuate uterus, 42, 210 UPJ. See Ureteropelvic junction (UPJ) obstruction Upper pole moiety, ectopic ureterocele and, 199f, 200 Urachal cyst, 64 Ureterocele, ectopic, 199–200 Ureteropelvic junction (UPJ) obstruction, 9–10, 9f Urethral atresia, 234 Urethral valve, posterior, 117–118
bladder outlet obstruction and, 234
obstruction due to cyst, 64 Urinary tract obstruction, 118 Urine ascites in bladder outlet obstruction, 234 Uterine bleeding, dysfunctional, 166 Uterus
congenital anomalies of, 41–42, 41f, 209–210, 209f
incarcerated, 207–208, 207f
masses in, 127–128, 127f Uterus didelphys, 210
V
VACTERL association
anorectal atresia in, 152
esophageal atresia in, 146
Vaginal bleeding
in abdominal ectopic pregnancy, 232 in adenomyosis, 230 endometrial cancer and, 84 endometrial polyps, 166 in placental abruption, 142 in retained products of conception, 124
subchorionic hemorrhage and, 96 Varicella infection, 86 Varix of umbilical vein, 241–242 Vasa previa
in succenturiate lobe, 176
velamentous insertion of umbilical cord with, 238 Vascular steal phenomenon, 22 VATER association, 191–192, 191f Velamentous insertion of umbilical cord, 237–238, 237f Venous ow, ovarian torsion and, 244 Ventricles
cardiac
Ebstein anomaly and, 104 in ve-short-axis view of heart, 114 hypertrophy in tetralogy of Fallot, 80 hypoplastic left heart syndrome with abnormalities of, 78
cranial
choroid plexus cyst in, 12 in corpus callosum agenesis, 217f, 218 hemorrhage in, 131–132, 131f hydrocephalus of, 54 in subdural hematoma, 228
Ventricular septal defect (VSD), 81–82, 81f, 87f, 88
dextraposed transposition of great arteries with, 162
tetralogy of Fallot with, 80
in trisomy 13, 170 Ventriculomegaly
in aqueductal stenosis, 38
choroid plexus cyst versus, 12
in corpus callosum agenesis, 218
in myelomeningocele, 36 Vertebral defects in VATER/VACTERYL association, 191–192 VSD. See Ventricular septal defect (VSD)
W
Weigert-Meyer rule, 200 Wharton’s jelly cyst, 216
Y
Yolk sac visualization, 120
254