Termination of pregnancy is indicated for Serratia marcescens bacteremia, a major cause of mortality. Our present case was highly challenging because the patient wished to continue with her pregnancy, and the ultrasonography showed features of a placental abscess. Although the outcomes were good after prolonged antibiotic treatment, this was an exceptional case.

OBJECTIVES To determine thresholds for the fetal renal pelvic anterior-posterior diameter (APD) predicting postnatal clinically relevant pelvicaliceal dilatation. METHODS One hundred and forty-eight infants whose prenatal sonography had identified an isolated uni- or bilateral fetal APD of > or = 4 mm before 33 and/or > or = 7 mm after 33 weeks' gestational age were investigated postnatally. ...

Conjoined twins, the most striking anomaly of monozygosity, have always aroused extensive interest in both the medical community and the general population, owing to their rarity and unusual presentations.1 Craniopagus twins joined at the head are uncommon malformations, found once per 2.5 million live births, and represent only 2% to 6% of conjoined twins.2 In 1977, Fagan3 first reported the p...

A 25-year-old woman, gravida 1, para 0, was referred to our hospital at 24 weeks’ gestation for routine second-trimester sonography. The patient had no notable medical history, no history of exposure to any toxic substances, and no notable family history. The couple was nonconsanguineous. Sonography at 12 weeks’ gestation revealed no abnormality. Second-trimester serum marker values were normal...

OBJECTIVE Visualization of the cavum septi pellucidi (CSP) is considered an integral part of the prenatal second-and third-trimester sonographic evaluations of the fetal neural axis. We have noted that another anatomic structure, the columns of the fornix, can be mistaken for the CSP and result in the missed diagnosis of agenesis of the corpus callosum. METHODS We describe a case in which the...

Placenta previa can be difficult to diagnose with transabdominal sonography during the third trimester of pregnancy, because of difficulties in imaging the cervix late in pregnancy. Although transperineal sonography offers an additional view of the cervix, its value in the diagnosis of placenta previa has not been studied. Accordingly, we performed transperineal sonography on 164 patients who h...

We compared transvaginal sonography, sonohysterography, and diagnostic hysteroscopy in the evaluation of abnormal uterine bleeding, Sixty-eight women 40 or older with abnormal uterine bleeding were assigned to undergo either transvaginal sonography or sonohysterography. All subjects then had diagnostic hysteroscopy and endometrial biopsy. Patients with abnormal findings underwent operative hyst...