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Congenital fetal syphilis presenting with progression of ultrasound findings: A case report
( Eunae Jo ),( Hyung Eun Choi ),( Su Kyung Jung ),( Sina Jang ),( Jeong Ok Kim ),( Jeonghoon Lee ),( Ho Yeon Kim ),( Eun Seop Song ),( Byoung Ick Lee ),( Sung Ook Hwang ),( Soo Ran Choi ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
Congenital fetal syphilis can cause by spirochetes cross the placenta from about 14 weeks of gestation. The clinical manifestations of congenital fetal syphilis are the results of active infection and inflammation and they are influenced by gestational age, stage of maternal syphilis, maternal treatment, and immunological response of the fetus. Untreated syphilis in pregnancy leads to adverse outcomes, including still birth, prematurity, low birth weight, congenital disease among newborn babies. We have a case of active fetal syphilis infection and rapid course of disease in untreated maternal primary infection. A 16-year-old woman at 28+2 weeks of gestation was referred with maternal reactive of FTA-ABS Ig M and Ig G, and fetal hepatosplenomegaly, severe ascites, and thickened placenta on ultrasound scan. The woman had a history of painless small vulvar sore about one month ago, and a report of ultrasound scan showed fetal abdomen with scanty ascites at 27+3 weeks of gestation. Thus the woman had started treatment with benzathine penicillin 2.4 million units. However, the fetus resulted in intrauterine fetal death at 28+6 weeks gestation with severe fetal hydropse, ascites, and pleural effusion. Polymerase chain reaction of amniotic fluid for Treponema pallidum was positive and FTA-ABS Ig M in cord blood was reactive. It is important in all pregnant women during the first trimester of pregnancy should be screened serologically for syphilis.
A leiomyoma with cystic degeneration mimicking an ovarian cancer
( Eunae Jo ),( Sung Ook Hwang ) 대한산부인과학회 2018 대한산부인과학회 학술대회 Vol.104 No.-
Cystic degeneration is a rather common secondary change of myoma. Uterine leiomyomas commonly undergo degenerative changes, which can lead to variable imaging features. A 44-year old patient admitted to our hospital for left sided pelvic pain. Transvaginal ultrasonographic examination revealed a 11cm septated cystic mass in pelvic cavity with solid portion. We thought it was an ovarian carcinoma. ROMA score was 5.3% low risk. Abdominopelvic CT revealed 11.4x9.9x11.8cm sized cystic malignant tumor in Rt. ovary such as serous cyst adenocarcinoma. Laparotomy was performed revealing a pedunculated subserosal leiomyoma with cystic change, myomectomy was performed. Histopathology showed leiomyoma(15cm) with extensive cystic change. Although fibroids usually have a characteristic sonographic appearance, degenerating myomas have variable patterns and can pose a diagnostic dilemma. Extensive cystic degeneration can mimic an ovarian tumor and ovarian cancer.