Prenatal [Ultrasound] Diagnosis of Cryptorchid Testicles

The role of ultrasonography as a routine investigative test for diagnosing testicular pathologies (in-utero and postnatally) cannot be overemphasized. Undescended (cryptorchid) testis according to literature is prone to neoplastic transformation. Determination of fetal gender in-utero by ultrasound allows for sex determination albeit;its full ethical implication should be considered. 3D ultrasonography is affordable, ubiquitous, reproducible and ensures rapid evaluation of a wide array of testicular pathologies, early (coincidental) diagnosis is important to avoid complications (such as torsion, bleeding or malignant-mass-formation) thus;sonar imaging features as an indispensable tool. The case aims to document and highlight accidental detection (at 31 weeks gestational age) and expunge on the accuracy of ultrasonography in diagnosing cryptorchidism. There is sparse (Nigerian) literature on Undescended Fetal Testis (UDFT). This report used antenatal imaging as a clear descriptive evidence of faulty testicular descent with detailed examination of the fetal genitalia. Ultrasound examination during the 3rd semester allows for accurate cryptorchid diagnosis (prenataly).

(Ventrodorsal) Symmetrical Bicornuate Uterus Mimicking a Pedunculated Myoma—A Case Report

Uterine anomalies account for about 4% in the most sampled population. Here we report a case of a 35 years old woman with occasional complaint of suprapelvic “heaviness”. She had an abnormal menstrual circle for the last 6 years. Manual palpitations were unrevealing and she appeared externally healthy. HSG was earlier performed as part of a fertility intervention (wrongly concluding on a detached form of pedunculated-myoma). Ultrasound revealed 2 separated fundal-cones, uterine cavities and a single inferior cervix. Cyesis in the bicornuate uterus is usually high-risk, making patients with uterine anomalies prone to proven misdiagnosis (e.g. appendicitis) and infertility. In addition, sonar further showed bilateral ovarian torsion. Corrective surgery was done in a hospital;post surgical healing was normal and uneventful.

Superficial Galactocelic Progression, Size-Variation and Assessment in a Patient

Breast cysts (galactocele) form in the mammary gland from ductal obstruction. Multiple pathologic entities may produce complex cystic breast lesions. Ultrasound is presently the first primary modality in breast evaluation after physical palpitation. We report a progressive case of multiple cysts in a 32-year-old woman, ranging from 28 mm to 20 mm. Though in-situ milk (sono-penic) appears sterile, the superficial presentation (externally) is that of a firm mass. Due to the known hazards of radioactive mammography, this case report proves the usefulness of sonar to image, map, measure, identify and diagnose breast pathology. In women with dense-heavy breast, ultrasound examination will play an important role in screening palpable and non-palpable masses.

Comparative Ultrasound Review of Free Intra-Peritoneal Fluid (Ascites)

The aim of this study is to review clinical case ascites and the use of ultrasound for the detection/classification of free intra-peritoneal fluid. Current therapeutic modality is in support of ultrasound guided paracentesis/thoracocentesis as a multidisciplinary procedure for ascitic reduction. Post-surgical free intra-peritoneal fluid is a common iatrogenic complication. We present ascitic cases of diseased conditions, questionable origins (in females) following hernia reduction and laparoscopic procedures to evaluate ascitic etiology through ultrasound. Average attenuation and quadrant sum of largest fluid pocket ultrasound (frozen) images were measured. 12 patients with free intra-peritoneal fluid had identifiable anatomical organs: liver, kidneys, urinary bladder and bowel loops. The size of maximal pocket of ascitic fluid in ill-patients was 1210/300 mm2, while fluid in subjects with non-traumatic injury was clear (free of striations) and appeared less dense.