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Electronic poster abstractswith distrophic calcification. Ovarian intracystic bleeding raises the suspicion of adnexal torsion though it may occur spontaneously without torsion -as in this case. Some reports advocate conservative treatment for fetal complex ovarian cysts; however it may not be completely safe to leave a gangrenous ovary within the abdomen because of the actual risk of adhesion of the necrotic tissue to the bowel with resultant occlusion or perforation and of a possible misdiagnosis (teratomas, etc Prenatal sonographic diagnosis of fetal obstructive uropathy is relatively common. However, the complication of spontaneous rupture of the urinary tract in utero causing fetal urinary ascites is extremely rare. Case report. A 33-year-old patient, gravid 2 para1, comes to the realization of the morphological ultrasound in the second trimester of gestation. We identify a single fetus with biometry that corresponds to the gestational age and massive hydronephrosis of the left kidney with pielocaliciar system significantly dilated. It was not possible to identify the right kidney, not finding left ureteral dilatation and being the bladder normal. The only additional finding was a single umbilical artery. Before these findings, we perform a genetic amniocentesis being its result normal (46, XX). In a subsequent exploration carried out at 26 weeks of gestation there is a severe fetal ascites, without criteria of hydrops. We complete the exploration by means of indirect Coombs test, maternal serology, middle cerebral artery Doppler and MR imaging, making the diagnosis of urinary ascites in connection with possible rupture of urinary excretory system. Since the amount of amniotic fluid is normal, we decided to prolong the pregnancy with regular ultrasound controls, getting to reach 36 weeks, time that we end the gestation by elective caesarean section before the increase of ascites and the appearance of a severe oligohydramnios. After the birth, was performed a nephrostomy of discharge to the newborn, which has maintained a good renal function until definitive surgery. Discussion. Although it was thought that urinary tract perforation seems to reduce pressure in the urinary system and thus prevent permanent damage to renal parenchyma, it is possible to occur too late to have such effect. Non-intervention may be appropriate if amniotic fluid is normal and normal parenchyma can be visualized by ultrasound at least in one kidney. The Lethal Multiple Pterygium Syndrome is characterised by hydropsy accompanied by severe and early cystic hygroma and joint contractures. The incidence is rare and unknown and its etiology is autosomal recessive, in some cases suggesting transmission connected to X.Patient Q.S.T, 22 years, primigravida. Cystic hygroma (figure 1), scoliosis, non visualisation of fetal stomach, flexion contracture of multiple joints -legs and arms (figure 2) and lack of fetal movements were detected by ultrasound (Medison Sonoace X8, Korea) in the first examination in our clinic, at 22 weeks. In the face ...

21st World Congress on Ultrasound in Obstetrics and GynecologyPoster abstracts system, fetal gender and associate anomalies. All patients were evaluated by two or three examiners with experience in prenatal diagnosis accompanied by geneticist in the examination room. A high resolution instrument model DC-7 (Mindray) was used. Results: A diagnosis of urogenitary system malformations was made in 49 of the 564 fetuses evaluated, corresponding to 8.6% of the total Conclusions: The incidence of urogenitary tract malformation in the present series was about 1.5 times higher than the reported in the literature. Most malformations can be surgically corrected after birth, with a good prognosis in the absence of complex syndromes or associated chromosomal disease. P08.05Screening for fetal heart disease in the second and third trimester by prenatal ultrasonography in a Chinese hospital S. Chen, X. Gong, X. Liang, Q. Li Department of Ultrasonography, Second People s Hospital of Shenzhen, Shenzhen, ChinaObjectives: To investigate multi-views conjoined screening (MVCS) for fetal heart disease in the second and third trimester pregnancy by prenatal ultrasound. Methods: The four-chamber view (FCV) alone, FCV with three vessels and trachea view FCV+3VT, MVCS of 16,500 consecutive fetuses aged from 18 to 36 week were examined to screen for fetal cardiac malformations with color Doppler. Suspected fetal cardiac disease was confirmed by postmortem or postnatal echocardiography and/or surgery. Then, the sensitivities of screening tests were compared among the three methods. Results: 96 fetuses was identified fetal heart disease. The Youden indexes of MVCS (0.9045) were more than FCV (0.5117) and FCV+3VT (0.7972) (P < 0.05), Compared with FCV and FCV+3VT, MVCS was with the most sensitive and lowest missed diagnosis. Conclusions: MVCS is a good method to diagnose fetal heart disease in the second and third trimester pregnancy with the most sensitive and lowest missed diagnosis. Objectives: The 22q11.2 deletion is a common chromosomal deletion syndrome, with a postnatal prevalence of 1 : 4000 newborns, with dominant autosomical inherited and with a wide phenotypical and clinical variability, which includes VeloCardio-Facial syndrome (VCFS/del 22q11), DiGeorge syndrome, Shprintzen, Takao (conotruncal anomaly face syndrome) and Cayler syndrome. The diagnose of this disease is important because it is a multisystemic disease that has different clinical expressions: congenital heart disease (conotruncal defect the most frequent), immunological abnormalities (cellular immunity) endocrynological abnormalities, palate/facial defects, dysmorphies, skeletal and neurological abnormalities. The prenatal prevalence it is probably more elevated than the postnatal prevalence, with a described prevalence of 1.6-11.5% in some series. The aim of our study is to present our experience in prenatal diagnose, using the in situ hybridization (FISH technique) of fetuses with congenital heart disease (CHD). Methods: We studied 110 fetuses with a CHD using FIS...

Results: For renal volumes, a high correlation between 2 and 3D measurements, and between 3D measurements on the left and right side was observed. Bladder volume assessment correlated well between the sono AVC and VOCAL technique. Urine production gradually increased with gestational age with a large interfetal difference late in gestation. Fetal venous and arterial doppler flow measurements in the left and right kidney did not differ significantly; the PSV increases gradually with gestational age. The PI for renal veins remains almost constant. There was a good correlation between renal volume, fetal urine production and PSV of the renal artery. Conclusions: Reference curves for renal volume, fetal urine production and renal Dopplers flow measurements in normal pregnancies are provided. These will serve as potential predictors for renal function in fetuses with renal and urinary tract pathology. P16.14The association between ischemia-modified albumin levels in umbilical vein and intrauterine growth restriction Objectives: Ischemia-modified albumin (IMA) was used for the first time as an early marker of ischemia in acute coronary syndrome. When tissue ischemia occurs, circulating albumin is exposed to structural changes. As a result of this change, cobalt binding characteristic of albumin decreases and they can not bind each other. In this study, we aimed to determine whether IMA can be used in the diagnosis of intrauterine growth restriction (IUGR). Methods: We performed a prospective study including 40 patients with IUGR and 40 with normal fetal development. Fetuses were diagnosed as IUGR if estimated fetal weight (EFW) < 10 th percentile in ultrasound. All the cases were followed in the Department of Obstetrics & Gynecology, Akdeniz University Faculty of Medicine, between 2010 February and November 2010. Blood samples were obtained from the umbilical vein after delivery to detect IMA levels and pH. Results of the two groups were compared statistically. Results: Ages were similar between IUGR and control groups (27.8 ± 6.03 vs. 28.5 ± 5.91, respectively, P = 0.602). Gestational age at delivery was lower in IUGR group than control group (36.4 ± 2.89 vs. 37.8 ± 2.24, respectively, P = 0.018). IMA levels in the IUGR group were statistically significantly higher than the control group (78.74 ± 6.87 vs. 74.43 ± 7.84 U/ml, respectively, P = 0.011). No significant difference was detected in terms of pH values of umbilical vein between those two groups (7.32 ± 0.04 vs. 7.33 ± 0.04, respectively, P = 0.342). Conclusions: We can suggest that IMA can be a valuable marker for IUGR. Thus, pregnant women accompanying any risk of IUGR can be diagnosed by measuring IMA levels in the umbilical vein before and after delivery. P16.15Subsequent pregnancy outcomes in women with prior pregnancy complicated by both very low birth weight and small for gestational age infant M. Matsushita, T. Murakoshi, S. Nakayama and Perinatal Care Center, Seirei Hamamatsu General Hospital, Hamamatsu, Japan Objectives: To assess the subsequent p...