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CONTENTS
Dedication v
Compact Diskette Icon vii Preface xv
Acknowledgments xvi
SECTION I. OBSTETRICAL ULTRASOUND Normal
Anatomy
1. First Trimester 3
1.1. Normal pregnancy at 5-6 weeks gestation
1.2. Normal pregnancy at 6-10 weeks gestation
1.3. Normal pregnancy at 10-13 weeks gestation
2. Second and Third Trimester Fetal Anatomy 12
2.1. Central nervous system, spine, and face
2.2. Thorax and heart
2.3. Abdomen
2.4. Skeleton
3. Second and Third Trimester Nonfetal Components 28 3.1.
Umbilical cord
3.2. Cervix in pregnancy
3.3. Placenta
3.4. Amniotic fluid
Fetal Abnormalities
4. Central Nervous System 37
4.1. Hydrocephalus
4.2. Aqueductal stenosis
4.3. Dandy-Walker malformation
4.4. Arachnoid cysts
4.5. Anencephaly
4.6. Encephalocele
4.7. Holoprosencephaly
4.8. Schizencephaly
4.9. Agenesis of the corpus callosum
4.10. Intracranial tumors
4.11. Vein of Galen aneurysm
4.12. Intracranial hemorrhage and porencephaly
4.13. Hydranencephaly
5. Spine 61
5.1. Spina bifida and meningomyelocele
5.2. Hemivertebrae
5.3. Scoliosis
5.4. Caudal regression and sacral agenesis
5.5. Sacrococcygeal teratoma
6. Face 71
6.1. Cleft lip and palate
6.2. Macroglossia
6.3. Micrognathia
6.4. Hypotelorism
6.5. Cyclopia and proboscis
6.6. Microphthalmia and anophthalmia
6.7. Cranial synostosis
7. Thorax, Neck, and Lymphatics 82
7.1. Cystic adenomatoid malformation
7.2. Pulmonary sequestration
7.3. Diaphragmatic hernia
7.4. Tracheal atresia
7.5. Unilateral pulmonary agenesis
7.6. Teratomas of the neck and mediastinum
7.7. Thickened nuchal translucency (11-14 weeks gestation)
7.8. Thickened nuchal fold (16-20 weeks gestation)
7.9. Cystic hygroma and lymphangiectasia
7.10. Pleural effusion
7.11. Hydrops
8. Heart 103
8.1. Overview of congenital heart disease
8.2. Hypoplastic left heart syndrome and aortic stenosis
8.3. Hypoplastic right ventricle and pulmonic stenosis
8.4. Ebstein anomaly
8.5. Ventricular septal defect
8.6. Atrioventricular canal
8.7. Tetralogy of Fallot
8.8. Transposition of the great vessels
8.9. Truncus arteriosus
8.10. Myocardial tumors
8.11. Arrhythmias
8.12. Ectopia cordis
8.13. Pericardial effusion
9. Gastrointestinal Tract 125
9.1. Esophageal atresia
9.2. Duodenal atresia
9.3. Small bowel obstruction
9.4. Meconium peritonitis
9.5. Cholelithiasis
9.6. Liver masses, cysts, and calcifications
10. Ventral Wall 137
10.1. Omphalocele
10.2. Gastroschisis
10.3. Amniotic band syndrome
11. Genitourinary Tract 143
11.1. Unilateral and bilateral renal agenesis
11.2. Hydronephrosis
11.3. Ureteropelvic junction obstruction
11.4. Vesicoureteral reflux
11.5. Primary megaureter (ureterovesical junction
obstruction)
11.6. Posterior urethral valves and other urethral
obstructions
11.7. Multicystic dysplastic kidney and renal dysplasia from
obstruction
11.8. Autosomal recessive polycystic kidney disease
11.9. Renal ectopia
11.10. Mesoblastic nephroma
11.11. Duplicated collecting system and ectopic ureterocele
11.12. Ovarian cysts
11.13. Cloacal and bladder exstrophy
12. Skeletal System 166
12.1. Skeletal dysplasia
12.2. Skeletal dysostoses
12.3. Limb amputations
12.4. Radial ray defects
12.5. Polydactyly
12.6. Clinodactyly
12.7. Clubfoot
12.8. Rockerbottom foot
13. Chromosomal Anomalies 177
13.1. Trisomy 13 (Patau syndrome)
13.2. Trisomy 18 (Edwards syndrome)
13.3. Trisomy 21 (Down syndrome)
13.4. Monosomy X (Turner syndrome, 45X)
13.5. Triploidy
Nonfetal Abnormalities
14. First Trimester Pregnancy Complications 193
14.1. Failed pregnancy
14.2. Subchorionic hematoma
14.3. Slow embryonic heart rate
15. Placenta 198
15.1. Placenta previa
15.2. Placental abruption
15.3. Placenta accreta, increta, and percreta
15.4. Chorioangioma
16. Uterus and Cervix 207
16.1. Cervical incompetence
16.2. Fibroids in pregnancy
16.3. Uterine synechia and amniotic sheet
17. Amniotic Fluid 216
17.1. Oligohydramnios
17.2. Polyhydramnios
17.3. Intra-amniotic hemorrhage
18. Umbilical Cord 222
18.1. Single umbilical artery
18.2. Abnormal placental cord insertions
18.3. Allantoic duct cysts
18.4. Umbilical arterial Doppler 18.5. Umbilical venous
varices
Multiple Gestations
19. Diagnosis and Characterization of Multiple Gestations
232
19.1. Fetal number
19.2. Placentation: chorionicity and amnionicity
20. Complications of Multiple Gestations 242
20.1. Twin-twin transfusion syndrome
20.2. Acardiac twinning
20.3. Conjoined twins
20.4. Death of one twin in utero
Procedures
21. Diagnostic Obstetrical Procedures 253
21.1. Amniocentesis
21.2. Chorionic villus sampling
21.3. Percutaneous umbilical blood sampling
22. Therapeutic Obstetrical Procedures 259
22.1. Fetal blood transfusion
22.2. Thoracentesis and thoracoamniotic shunting
22.3. Bladder drainage and vesicoamniotic shunting
22.4. Paracentesis
22.5. Tracheal occlusion for diaphragmatic hernia
22.6. Multifetal pregnancy reduction and selective
termination
SECTION II. GYNECOLOGICAL ULTRASOUND Normal
Anatomy
23. Uterus 275
23.1. Myometrium
23.2. Endometrium
24. Adnexa 280
24.1. Ovaries
24.2. Extraovarian adnexal structures
Pathology
25. Myometrium 284
25.1. Fibroids (leiomyomas) and leiomyosarcomas
25.2. Adenomyosis
25.3. Uterine duplication anomalies
26. Endometrium 293
26.1. Endometrial polyps
26.2. Endometrial hyperplasia
26.3. Endometrial carcinoma
26.4. Gestational trophoblastic disease
27. Ovaries and Adnexa 304
27.1. Simple ovarian cysts
27.2. Hemorrhagic ovarian cysts
27.3. Ovarian teratomas
27.4. Ovarian benign neoplasms other than teratomas
27.5. Ovarian cancer
27.6. Endometriosis
27.7. Hydrosalpinx
27.8. Tubo-ovarian abscess
28. Ectopic Pregnancy 318
28.1. Tubal ectopic pregnancy
28.2. Cornual (interstitial) ectopic pregnancy
28.3. Cervical ectopic pregnancy
28.4. Abdominal ectopic pregnancy
28.5. Heterotopic pregnancy
Procedures
29. Diagnostic Gynecological Procedures 331
29.1. Saline infusion sonohysterography
30. Therapeutic Gynecological Procedures 334
30.1. Ovarian cyst aspiration
30.2. Ultrasound-guided uterine instrumentation through the
cervix
30.3. Ectopic pregnancy ablation
30.4. Pelvic abscess drainage
Subject Index 347
