The germinal matrix hemorrhage (GMH) can be diagnosed prenatally by ultrasound (US) and fetal magnetic resonance imaging (MRI). Prenatal imaging is essential for GMH grading and subsequent prognosis and clinical management. MRI benefits from higher specificity and sensitivity for GMH diagnosis then ultrasound. Fetal MRI advantages include high-resolution imaging, better visualization of the brain parenchyma with susceptibility to identify hemorrhage or blood breakdown products and non-invasiveness of the study. This article aims to present a series of cases with fetal GMH.
Foreign-body material such as surgical sponge, accidentally retained in the human body, is termed gossypiboma or textiloma. This may result in foreign-body reaction with severe surgical complications if left unknown. Computed tomography (CT) and ultrasound (US) are preferred methods for detection of gossypibomas. The radiologic features on CT are characteristic whatever in any location-spongiform mass with gas bubbles, low-density mass with a thin enhancing capsule and calcified depositions along the network architecture of a surgical sponge. US also provides a typical appearance of hypoechoic or anechoic mass with distal loss of signal. Surgical removal is mandatory considering the amount of possible complications. We present a case of rare localization of asymptomatic intrauterine gossypiboma and discuss the common US and CT features of this infrequent entity.
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