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Spazzini MD, Carlini L, Algeri P, Ermito S, Ciammella M. The role of ultrasound examination in the management of a patient with hemoperitoneum and an ovarian mass: a clinical-diagnostic challenge. J Turk Ger Gynecol Assoc 2021; 23:58-59. [PMID: 34866372 PMCID: PMC8907430 DOI: 10.4274/jtgga.galenos.2021.2021.0036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- Maria Donata Spazzini
- Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo Est, Seriate, Bergamo, Italy
| | - Laura Carlini
- Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo Est, Seriate, Bergamo, Italy
| | - Paola Algeri
- Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo Est, Seriate, Bergamo, Italy
| | - Santina Ermito
- Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo Est, Seriate, Bergamo, Italy
| | - Massimo Ciammella
- Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo Est, Seriate, Bergamo, Italy
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2
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Cignini P, Dinatale A, D'Emidio L, Giacobbe A, Pappalardo EM, Ermito S, Bizzoco D, Di Giacomo G, Gabrielli I, Mesoraca A, Giorlandino M, Giorlandino C. Prenatal Diagnosis of a Fetus with de novo Supernumerary Ring Chromosome 16 Characterized by Array Comparative Genomic Hybridization. AJP Rep 2011; 1:29-32. [PMID: 23705081 PMCID: PMC3653546 DOI: 10.1055/s-0031-1274512] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2010] [Accepted: 11/21/2010] [Indexed: 10/25/2022] Open
Abstract
A fetus with de novo ring chromosome 16 is presented. At 20 weeks' gestation, ultrasound examination demonstrated bilateral clubfoot, bilateral renal pyelectasis, hypoplasia of the corpus callosum, and transposition of the great vessel. Amniocentesis was performed. Chromosome analysis identified a ring chromosome 16 [47,XY,r(16)] and array comparative genomic hybridization (a-CGH) demonstrated that the ring included the euchromatic portion 16p11.2. Postmortem examination confirmed prenatal findings. This is the first case of de novo ring chromosome 16 diagnosed prenatally with a new phenotypic pattern and also reinforces the importance of offering amniocentesis with a-CGH if fetal anomalies are detected.
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Affiliation(s)
- Pietro Cignini
- "Artemisia" Fetal-Maternal Medical Centre, Department of Prenatal Diagnosis, Rome
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3
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Dinatale A, Ermito S, Fonti I, Giordano R, Cacciatore A, Romano M, La Rosa B. Obesity and fetal-maternal outcomes. J Prenat Med 2010; 4:5-8. [PMID: 22439052 PMCID: PMC3263937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
In women Obesity has a significant impact on every aspect of female reproductive life both in terms of infertility and early pregnancy complications. It is linked to a number of adverse obstetric outcomes as well as increased maternal and neonatal morbidity and mortality. These complications include miscarriage, congenital abnormalities, pre-eclampsia, gestational diabetes mellitus, iatrogenic preterm delivery, post-dates pregangy with increased rates of induction of labour, caesarian section and complications during and following operative procedures, post-partum haemorrhage, shoulder dystocia, infection, venous thromboembolism and increased hospital day. It is important to consider obese pregnant women as a high risk group with a linear increase in risk of complications associated with their degree of obesity.
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Affiliation(s)
- Angela Dinatale
- Department of Obstetrics and Gynecology, Policlinico Universitario “G. Martino”, Messina, Italia
| | - Santina Ermito
- Department of Obstetrics and Gynecology, Policlinico Universitario “G. Martino”, Messina, Italia
| | - Ilenia Fonti
- Department of Obstetrics and Gynecology, Policlinico-Vittorio Emanuele. University of Catania, Italy
| | - Rosalba Giordano
- Department of Obstetrics and Gynecology, Policlinico-Vittorio Emanuele. University of Catania, Italy
| | - Alessandra Cacciatore
- Department of Obstetrics and Gynecology, Policlinico-Vittorio Emanuele. University of Catania, Italy
| | - Mattea Romano
- Department of Obstetrics and Gynecology, Policlinico-Vittorio Emanuele. University of Catania, Italy
| | - Beatrice La Rosa
- Department of Obstetrics and Gynecology of “S. Bambino” Hospital. University of Catania, Italy
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4
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Cavaliere A, Ermito S, Mammaro A, Dinatale A, Accardi MC, Pappalardo EM, Recupero S. Ultrasound Scanning in Fetal Renal Pelvis Dilatation: not only Hydronephrosis. J Prenat Med 2009; 3:60-61. [PMID: 22439049 PMCID: PMC3279112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Pelvic dilatation is the alteration of the urinary tractmost frequently detected by maternal-fetalultra-sound. Hydronephrosis is not a diagnosis; it is an imagefinding. The diagnosis is the cause that produces it. Since pelvic dilatation is relatively frequent in thenormal fetus, and the definition and diagnosis of hy-dronephrosis are difficult, once it is detected, adequate follow-up is required. Therefore, it is important for the urologist and obstetrician to understanddifferential diagnosis and clinical implications in order to offer an accurate counselling to the parents.
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Affiliation(s)
- Alessandro Cavaliere
- Department of Prenatal Diagnosis, Fetal Maternal Medical Centre "ARTEMISIA", Rome Italy
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Pedata R, Palermo M, Maiello M, Esposito N, Ermito S, Dinatale A, Carrara S, Cavaliere A. Fetal lung lesions diagnosis: the crucial role of ultrasonography. J Prenat Med 2009; 3:49-52. [PMID: 22439045 PMCID: PMC3279113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Fetal lung lesions may cause significant effects of mass and may evolve into a non-immune hydrops and lead to the death of the fetus or the child. Treatment options for these severely affected infants are constantly evolving. The widespread use of ultrasound in prenatal diagnosis, in tertiary center like ours, allows us to identify the fetus, including lung lesions more 'small. Prenatal diagnosis and possible therapeutic intervention in the immediate prenatal or postnatal period has significantly changed the quality of life and the survival of fetuses and infants, especially those who were completely asymptomatic at birth.Object of our interest is the pulmonary sequestration and congenital pulmonary malformation is the second in order of frequency, with an incidence between 0.15% and 6.4% of cases.
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Affiliation(s)
- Rosa Pedata
- Dipartimento di Scienze Ginecologiche,Ostetriche e della Riproduzione. Seconda Università degli Studi di Napoli
| | - Mariarosaria Palermo
- Dipartimento di Scienze Ginecologiche,Ostetriche e della Riproduzione. Seconda Università degli Studi di Napoli
| | - Monica Maiello
- Dipartimento di Scienze Ginecologiche,Ostetriche e della Riproduzione. Seconda Università degli Studi di Napoli
| | - Nunzia Esposito
- Dipartimento di Scienze Ginecologiche,Ostetriche e della Riproduzione. Seconda Università degli Studi di Napoli
| | - Santina Ermito
- Unità Operativa di Ginecologia e Ostetricia, Policlinico Universitario “ G. Martino”, Messina, Italy
| | - Angela Dinatale
- Unità Operativa di Ginecologia e Ostetricia, Policlinico Universitario “ G. Martino”, Messina, Italy
| | - Sabina Carrara
- Department of Gynecology & Obstetrics, Sapienza University of Rome, Rome, Italy
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6
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De Paola N, Ermito S, Nahom A, Dinatale A, Pappalardo EM, Carrara S, Cavaliere A, Brizzi C. Prenatal diagnosis of left isomerism with normal heart: a case report. J Prenat Med 2009; 3:37-38. [PMID: 22439041 PMCID: PMC3279108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVE Left isomerism, also called polysplenia, is a laterality disturbance associated with with paired leftsidedness viscera and multiple small spleens. Left isomerism, heart congenital abnormalities and gastrointestinal malformation are strongly associated. METHODS We present a case of prenatal diagnosis of left isomerism in a fetus with a structurally normal heart. CONCLUSION Left isomerism syndrone may coesist with a structurally normal heart. If prenatal left isomerism is suspected, even in presence of a normal heart, is mandatory to esclude sign of gastrointestinal abnormalities, as late poly hy dramnios, and cardiac rhytm disturbance during the pregnancy and neonatal age.
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Affiliation(s)
- Nico De Paola
- Division of Pediatric Cardiology - Hospital S. Pietro Fatebenefratelli, Rome, Italy
| | - Santina Ermito
- Operative Unit of Obstetrics and Gynecology, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Antonella Nahom
- Neonatal Surgery Unit, Department of Neonatology, “Bambino Gesù” Children Hospital, Rome, Italy
| | - Angela Dinatale
- Operative Unit of Obstetrics and Gynecology, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Elisa Maria Pappalardo
- Department of Gynecology and Obstetrics, ARNAS, Garibaldi Nesima Hospital, Catania, Italy
| | - Sabina Carrara
- Department of Gynecology & Obstetrics, Sapienza University of Rome, Rome, Italy
| | - Alessandro Cavaliere
- Department of Prenatal Diagnosis, Artemisia Fetal Maternal Medical Centre, Rome Italy
| | - Cristiana Brizzi
- Department of Prenatal Diagnosis, Artemisia Fetal Maternal Medical Centre, Rome Italy
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7
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Cavaliere A, Dinatale A, Cardinale G, Ermito S, La Galia T, Circosta B, Imbruglia L, Rapisarda G. A prenatally diagnosed case of sirenomelia with dextrocardia and omphalocele. J Prenat Med 2009; 3:42-43. [PMID: 22439043 PMCID: PMC3279106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVE Sirenomelia (Mermaid syndrome) is a rare anomaly of caudal region of the body, presented with fusion of the lower limbs. Genito-urinary, gastro-intestinal, neural tube and vertebral anomalies are found in most cases. METHODS We present a case of sirenomelia diagnosed in the first tri-mester, associated with dextrocardia, and omphalocele CONCLUSION First trimester diagnosis of sirenomielia is possible and early diagnosis gives the parents the option of early pregnancy termination.
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Affiliation(s)
- Alessandro Cavaliere
- Department of Prenatal Diagnosis, Fetal Maternal Medical Centre "Artemisia", Rome, Italy
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8
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Cacciatore A, Rapiti S, Carrara S, Cavaliere A, Ermito S, Dinatale A, Imbruglia L, Recupero S, La Galia T, Pappalardo EM, Accardi MC. Obstetric management in Rh alloimmunizated pregnancy. J Prenat Med 2009; 3:25-7. [PMID: 22439037 PMCID: PMC3279102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Rh alloimmunization occurs when maternal immune system is sensitized to D(Rh) erythrocyte surface antigens.The most common causes of maternal Rh alloimmunisation are blood transfusion and antepartum or intrapartum fetomaternal hemorrhage (abdominal trauma, abortion, ectopic pregnancy, invasive obstetric procedures, placental abruption, external cephalic version).The risk of alloimmunization is affected by several factors, including the degree of fetomaternal hemorrhage and maternal immune respons.Although the introduction of anti D prophylaxis reduced dramatically the rate of alloimmunization in susceptible women, his prevention is not universal and about 0.3% of susceptible women still become Rh D alloimmunized.The aim of this article is to review the management of the Rh alloimmunizated pregnant.
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Affiliation(s)
- Alessandra Cacciatore
- Department of Gynecology and Obstetrics, Università - Azienda Ospedaliero-Universitaria Policlinico "Gaspare Rodolico", Catania, Italy
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9
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Pappalardo EM, Militello M, Rapisarda G, Imbruglia L, Recupero S, Ermito S, Dinatale A, Carrara S, Cavaliere A. Fetal intracranial cysts: prenatal diagnosis and outcome. J Prenat Med 2009; 3:28-30. [PMID: 22439038 PMCID: PMC3279101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Intracranial cysts are central nervous system malformations involving different brain regions, and commonly diagnosed during prenatal period by ultrasound scan (US). A malformative cyst is a nontumoral fluid-filled collection exerting a mass effect on the brain parenchyma and/or on the ventricles, regardless of its location within subarachnoid spaces, brain or ventricles, and of the nature of its limiting membrane, which is always unknown prenatally. Although a large number of case reports have been published, many uncertainties remain concerning their epidemiology, pathogenesis, and outcome. Most of these lesions, if not associated with other fetal anomalies, are benign in nature, remain clinically silent, do not evolve or even frequently regress spontaneously and do not impair physiologic neurodevelopment. The normality of the adjacent brain is the major argument in favour of a malformative lesion. The correct diagnosis is of crucial importance to exclude the presence of other rare lesions (e.g. cystic neoplasms or intracranial hemorrhage) that could negatively affect neurodevelopmental outcome of the child. To establish a correct prognosis all efforts must aim to precisely interpret the US images accurately analyzing the brain anatomy.
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Affiliation(s)
- Elisa Maria Pappalardo
- Department of Gynecology and Obstetrics, ARNAS, Garibaldi Nesima Hospital, Catania, Italy
| | - Mariapia Militello
- Azienda Ospedaliero-Universitaria, Policlinico “G. Rodolico”, Catania, Italy Clinic of Obstetrics and Gynecology
| | - Giusi Rapisarda
- Department of Gynecology and Obstetrics, ARNAS, Garibaldi Nesima Hospital, Catania, Italy
| | - Laura Imbruglia
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Stefania Recupero
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Santina Ermito
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Angela Dinatale
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Sabina Carrara
- Department of Gynecology & Obstetrics, Sapienza University of Rome, Rome, Italy
| | - Alessandro Cavaliere
- Department of Prenatal Diagnosis, Fetal Maternal Medical Centre “Artemisia”, Rome Italy
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10
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Ermito S, Dinatale A, Carrara S, Cavaliere A, Imbruglia L, Recupero S. Prenatal diagnosis of limb abnormalities: role of fetal ultrasonography. J Prenat Med 2009; 3:18-22. [PMID: 22439035 PMCID: PMC3279100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Fetal ultrasonografy is the most important tool to provide prenatal diagnosis of fetal anomalies. The detection of limb abnormalities may be a complex problem if the correct diagnostic approch is not established. A careful description of the abnormality using the rigth nomenclature is the first step. Looking for other associated abnormalities is the threshold to suspect chromosomal abnormalities or single gene disorder. According to the patogenic point of view, limb abnormalities may be the result of malformation, deformation, or disruption. The prenatal diagnosis and the management of limb abnormalities involve a multidisciplinary team of ostetrician, radiologist/sonologist, clinical geneticist, neonatologist, and orthopedic surgeons to provide the parents with the information regarding etiology of the disorder, prognosis, option related to the pregnancy and recurrence risk for future pregnancies.The aim of this review is to describe the importance of detailed fetal ultrasonography in prenatal diagnosis of limb abnormalities.
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Affiliation(s)
- Santina Ermito
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Angela Dinatale
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Sabina Carrara
- Department of Gynecology & Obstetrics, Sapienza University of Rome, Rome, Italy
| | - Alessandro Cavaliere
- Department of Prenatal Diagnosis Fetal Maternal Medical Centre “Artemisia”, Rome Italy
| | - Laura Imbruglia
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Stefania Recupero
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
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11
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Accardi MC, Lo Magno E, Ermito S, Dinatale A, Cacciatore A, Cavaliere A, Rossetti D. Echotomography of craniosynostosis: review of literature. J Prenat Med 2009; 3:31-33. [PMID: 22439039 PMCID: PMC3279099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Ultrasound examination of the foetal cranium can diagnose fetal cranial defects and abnormal skull shape and it's aim is to detect in prenatal age most various abnormalities of the skull, brain and foetal face. The changes of each of these components frequently determine the growth of the other two.The abnormalities of the foetal head frequently appear and can associate serious pathological sceneries of high foetal and perinatal morbidity and mortality.Anomalies of the head have been observed using ultrasound study during the early second trimester. To establish diagnosis and long term prognosis is particularly important and helpful correct detection of the nature of the malformation.
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Affiliation(s)
- Manuela Chiara Accardi
- Department of Gynecology and Obstetrics, Università - Azienda Ospedaliero-Universitaria Policlinico "Gaspare Rodolico", Catania, Italy
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12
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Cavaliere A, Ermito S, Dinatale A, Pedata R. Management of molar pregnancy. J Prenat Med 2009; 3:15-17. [PMID: 22439034 PMCID: PMC3279094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Gestational Trophoblastic Disease (GTD) originates from placental tissue and is among the rare human tumors that can be cured even in the presence of widespread metastases. GTD include a spectrum of interrelated tumors including complete and partial hydatidiform mole, invasive mole, choriocarcinoma, and placental site trophoblastic tumor, that have different propensities for local invasion and spread. Although most GTD develop after a mole, they can follow any antecedent pregnancy.Transvaginal ultrasound, routinary dosage of beta-hCG and current approaches to chemotherapy, let most women with malignant gestational trophoblastic disease to be cured and their reproductive function preserved.
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Affiliation(s)
| | - Santina Ermito
- Operative Unit of Obstetrics and Gynecology, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Angela Dinatale
- Operative Unit of Obstetrics and Gynecology, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Rosa Pedata
- Department of Gynecology, Obstetrics and Reproductive Sciences, Second University of Naples, Naples, Italy
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13
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Mammaro A, Carrara S, Cavaliere A, Ermito S, Dinatale A, Pappalardo EM, Militello M, Pedata R. Hypertensive disorders of pregnancy. J Prenat Med 2009; 3:1-5. [PMID: 22439030 PMCID: PMC3279097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Hypertension is the most common medical problem encountered during pregnancy, complicating 2-3% of pregnancies. Hypertensive disorders during pregnancy are classified into 4 categories, as recommended by the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy: 1) chronic hypertension, 2) preeclampsia-eclampsia, 3) preeclampsia superimposed on chronic hypertension, and 4) gestational hypertension (transient hypertension of pregnancy or chronic hypertension identified in the latter half of pregnancy) (1). This terminology is preferred over the older but widely used term pregnancy-induced hypertension (PIH) because it is more precise.
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Affiliation(s)
- Alessia Mammaro
- Department of Gynecology & Obstetrics, Policlinico Tor Vergata Rome, Italy
| | - Sabina Carrara
- Department of Gynecology & Obstetrics, Sapienza University of Rome, Rome, Italy
| | - Alessandro Cavaliere
- Department of Prenatal Diagnosis, Fetal Maternal Medical Centre “Artemisia”, Rome, Italy
| | - Santina Ermito
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Angela Dinatale
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Elisa Maria Pappalardo
- Department of Gynecology and Obstetrics, ARNAS, Garibaldi Nesima Hospital, Catania, Italy
| | - Mariapia Militello
- Clinic of Obstetrics and Gynecology, Azienda Ospedaliero-Universitaria, Policlinico “G. Rodolico”, Catania, Italy
| | - Rosa Pedata
- Department of Obstetric, Gynecological and Reproductive Sciences, Second University of Naples, Naples, Italy
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14
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Lo Magno E, Ermito S, Dinatale A, Cacciatore A, Pappalardo EM, Militello M, Cavaliere A, Rossetti D. Fetal cystic lymphangioma of the neck: a case report. J Prenat Med 2009; 3:12-14. [PMID: 22439033 PMCID: PMC3279095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVE A case of fetal neck lymphangioma is reported METHODS A 34-year-old primigravida presented with a fetus at 21+5 weeks' gestation with a neckl cystic mass. RESULTS Diagnosis of neck lymphangioma was made; the couple opted for termination of pregnancy a 22 weeks; they refused fetal autopsy. CONCLUSION Counseling in case of neck lynphangioma is still difficult. Prognosis in guarded as many patients decide for interruption of pregnancy.
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Affiliation(s)
- Elena Lo Magno
- Department of Microbiological and Gynecological Sciences, Section of Gynecology, Hospital S. Bambino, University of Catania, Italy
| | - Santina Ermito
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Angela Dinatale
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Alessandra Cacciatore
- Department of Obstetrics and Gynecology and Radiological Sciences, Università - Azienda Policlinico, Catania, Italy
| | - Elisa Maria Pappalardo
- Department of Gynecology and Obstetrics, ARNAS, Garibaldi Nesima Hospital, Catania, Italy
| | - Mariapia Militello
- Az. Osp. Univ. Policlinico “G. Rodolico” di Catania - Clinic of Obstetrics and Gynecology
| | - Alessandro Cavaliere
- Department of Prenatal Diagnosis Fetal Maternal Medical Centre “Artemisia”, Rome, Italy
| | - Diego Rossetti
- Division of Gynecology and Obstetrics, Ospedali Riuniti di Bergamo, Milano Bicocca University, Bergamo, Italy
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15
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Militello M, Pappalardo EM, Ermito S, Dinatale A, Cavaliere A, Carrara S. Obstetric management of IUGR. J Prenat Med 2009; 3:6-9. [PMID: 22439031 PMCID: PMC3279098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The intrauterine growth retardation (IUGR) takes second position after the premature births as a cause for neonate with smaller weight for it's gestational age. Perinatal morbidity of retard children is important, but perinatal mortality is about eight times higher then normal weighted neonates. It is very important to make the right diagnosis of IUGR, the cause of their illness, the therapy they need and when it's necessary to find the right time, place and way of birth.
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Affiliation(s)
- Mariapia Militello
- Clinic of Obstetrics and Gynecology Azienda Ospedaliero-Universitaria Policlinico “G. Rodolico”, Catania, Italy
| | - Elisa Maria Pappalardo
- Department of Gynecology and Obstetrics, ARNAS, Garibaldi Nesima Hospital, Catania, Italy
| | - Santina Ermito
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Angela Dinatale
- Operative Unit of Gynecology and Obstetrics, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Alessandro Cavaliere
- Department of Prenatal Diagnosis, Fetal Maternal Medical Centre “Artemisia”, Rome, Italy
| | - Sabina Carrara
- Department of Gynecology & Obstetrics, Sapienza University of Rome, Rome, Italy
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16
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Carrara S, Cavaliere A, Ermito S, Dinatale A, Pappalardo EM, Militello M. Case report: successful of a spontaneous quadruplet pregnancy. J Prenat Med 2009; 3:10-1. [PMID: 22439032 PMCID: PMC3279096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVE To report a rare case of successful pregnancy and delivery of two pair of monozygotic twins (quadruplets). METHODS We reported a Case Report of a 32-year-old nulligravida, who had had a previous twin pregnancy and was herself a twin assisted hatching. Prophylactic cervical cerclage sec. McDonald in the 23st week of pregnancy, hospitalization, and intensive care of pregnancy were performed. RESULTS Successful pregnancy and delivery of two male and two female twins in the 34th week of pregnancy.
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Affiliation(s)
- Sabina Carrara
- Department of Gynecology & Obstetrics, Sapienza University of Rome, Rome, Italy
| | - Alessandro Cavaliere
- Department of prenatal diagnosis Fetal Maternal Medical Centre “Artemisia”, Rome, Italy
| | - Santina Ermito
- Unità Operativa di Ginecologia e Ostetricia, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Angela Dinatale
- Unità Operativa di Ginecologia e Ostetricia, Policlinico Universitario “G. Martino”, Messina, Italy
| | - Elisa Maria Pappalardo
- Department of Gynecology and Obstetrics, ARNAS, Garibaldi Nesima Hospital, Catania, Italy
| | - Mariapia Militello
- Clinica Ostetrica e Ginecologica Az. Osp. Univ. Policlinico “G. Rodolico”, Catania, Italy
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