We present our experience of using HDlive studio and HDlive silhouette to diagnose uterine synechia at 18 weeks and 2 days of gestation. Two-dimensional (2D) sonography showed a narrow, transverse uterine synechia in the amniotic cavity. 2D color Doppler revealed arterial blood flow consistent with the maternal heart rate in the uterine synechia. HDlive silhouette clearly demonstrated a transverse, bridging uterine synechia in front of the fetal head, and fetal arm and leg behind the placenta. Magnetic resonance imaging (MRI) confirmed the oblique horizontal band-like synechia at 31 weeks of gestation. HDlive silhouette and HDlive studio provided a novel visual depiction of uterine synechia and allowed us to demonstrate the spatial relationships among the uterine synechia, placenta, umbilical cord, and fetus in the amniotic cavity.
How to cite this article:
Rosales-Aedo O, Alvarez-de-la-Rosa M, Padilla AI, Troyano JM. Fetal Mediastinal Mass Associated with Arrhythmia: Artifact and Casual Finding in Ultrasound Diagnosis. Donald School J Ultrasound Obstet Gynecol 2018; 12 (4):258-261.
Aim: We aim to report a case of an enlarged fetal thymus causing arrhythmia.
Background: Fetal mediastinal masses may be clinically asymptomatic or cause hemodynamically significant alterations, heart failure, arrhythmias, and sudden cardiac death.
Case description: We present a case of fetal mediastinal mass associated with an arrhythmia. A 29-year-old primigravida, with no previous medical history, was referred to our center due to suspicion of fetal arrhythmia detected in a routine control in week 34. A thymus of hyperplasic characteristics was suspected in the ultrasound evaluation. Pregnancy concluded uneventfully with favorable neonatal outcome.
Conclusion: The fetal thymus is a structure that usually goes unnoticed during the process of prenatal diagnosis, and when it presents alterations in its morphology, can lead to confusion.
Clinical significance: The fetal thymus can be physiologically enlarged and cause fetal arrhythmias without an adverse clinical outcome.
The beginning of human life and the whole mystery about it has fascinated people from time immemorial. It has been the subject of various scientific researches and religious debates. Different views on \"the beginning\" and distinct definitions are peculiar from individual to individual, in diverse countries, cultures, and religions. Substantial progress has been made so far that philosophers, scientists, ethicists, sociologists, and theologies are closer and closer to achieve some consensus, realizing that most of their views can be seen as complementary and do not exclude each other. Evaluating the process of development of human life, we can surely say that at some point there is the beginning and the end. Pointing out exact moments in time remains unascertained. Scientifically, from the biological standpoint, there are several moments which are more or less equally important and are rather seen as a continuous dynamic process that develops fluently.
Francisco JB Bartret
How to cite this article:
Abstracts from the 1st Croatian Congress on Ultrasound in Gynecology and Perinatology, 10–11 November 2018, Zagreb, Croatia. Donald School J Ultrasound Obstet Gynecol 2018; 12 (4):300-316.