Re: Help requested for a conference
From: zalel (zalel_y@netvision.net.il)
Tue Jun 19 15:17:13 2001
Dear Ferreira!
One of the main problems with discrepat pre and post natal diagnosis is the
gastro-intestinal system.
We have many cases of enlarged stomach (even ending in a blind pouch)
accompanied by polyhydramnios. Prenatal diagnosis of pyloric atresia was
suspected but in most cases it was nothing. The same thing happened to
prenatal diagnosis of enlarged bowel loops which turned out to be none. We
even had a case of fetal abdomen filled with enlarged bowel loops. The
pediatric surgeon even discussed with the couple the diagnosis of Hirshprung
dis, but the baby "shit on that diagnosis"!
By the way- It would be very interesting to know about your query- If you
get more examples from our colleagues, you could post it as a power point
presentation to the OB&GYN section.
Best regards and good luck
Yaron Zalel, MD
>----- Original Message -----
From: "Superonline" <recephas@superonline.com>
To: "Multiple recipients of list ULTRASOUND"
<ultrasound@mail.medispecialty.com>
Sent: Tuesday, June 19, 2001 9:53 PM
Subject: Re: Help requested for a conference
> Dear Ferreira,
>
> One example for discordance between prenatal diagnosis and postnatal
> pathologic findings is about Dand-Walker malformations, (wrong measurement
> of cysterna magna!, wrong evaluation of vermian dysgenesis!). You can read
> the article of Carroll et. al. published in Ultrasound in Obstetrics and
> Gyneclology.
>
> Carroll ASM, Porter H.... Ultrasound Obstet Gynecol 2000; 16: 149-153
>
> The other subjects may be false diagnosis of Esophagela atresia (small
> staomach with polyhydramnios! -is not well correlates), and false
diagnosis
> of Duodenal atresia (false Double-Bubble sign!)
>
> Best regards,
>
> Recep Has, MD
>
> University of Istanbul
> Faculty of Medicine
> Department of Obstetrics and Gynecology
>
> e-mail: recephas@superonline.com
>
> -----Original Message-----
> From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net]On Behalf Of
> Jose Ferreira
> Sent: Tuesday, June 19, 2001 10:05 PM
> To: Multiple recipients of list ULTRASOUND
> Subject: Help requested for a conference
>
> I am a Obstetrician and Clinical Geneticist at Garcia de Orta Hospital,
> ALMADA, PORTUGAL
> One of my colleagues, Manuel Hermida, was invited to present a talk at
> the
> World Congress of Perinatal Medicine to be held in Barcelona, Spain on
> Sptember 23-27, 2001 on 'Errors in fetal ultrasound', which is a hell of
> a
> subject. There are not that many people reporting errors in literature.
> We
> believe that the intention of the organizers is to get information on
> false
> positives (of false negatives is the world full). Meaning, cases in
> which
> something was diagnosed but that was not there once the baby was born.
> We
> actually ha a case like that (it looked like a small encephalocele but
> there
> was nothing). But it was just a case! We believe that everybody had,
> sometimes a sporadic experience like that and thought that it would be
> interesting to ask professionals for cases they have had like this to
> help
> us on this task! Obviously all the credits will be publicly made
> available.
> If you have any case, especially if you have images, that wouldn't mind
> to
> share in this setting, we would be very appreciative of your
> collaboration!
> We would like to thank you all for all suggestions and stories you may
> have.
> Please e-mail me privately.
>
> --
> Jose Ferreira, MD
> Ob.Gyn. Dept.
> Garcia de Orta Hospital
> Almada
> Portugal
>
