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The obtained high rate of spontaneous regression of cervical changes after pregnancy as well as the lower incidence of preterm births in patients who were not treated by conization during pregnancy, confirm that patients with premalignant cervical changes should be, if invasion is excluded, under follow-up throughout pregnancy by regular colposcopic and cytological examinations. Therapeutic conization, due to numerous complications, should be performed only when there is a suspected presence of a more severe form of the disease (micro invasive and invasive carcinoma).

Uvod:Veliki i multipli miomi su dobro poznat uzrok infertiliteta, ali nije neuobičajeno da i pored njihovog prisustva dođe do spontane trudnoće. Tretman pacijentkinja sa velikim i multiplim miomima je kontroverzan, ne samo u toku trudnoće već i prilikom porođaja. Ovakvi miomi mogu da budu uzrok značajnog morbiditeta u puerperijumu. Carski rez je najčešći način završavanja porođaja. Prikaz slučaja: Carski rez sa polimiomektomijom učinjen je u 36. nedelji gestacije, kod pacijentkinje sa velikim multiplim miomima, uz upotrebu cell savera, sa dobrim fetalnim i maternalnim ishodom. Pristup donjem segmentu uterusa je bio moguć uprkos postojanju velikih mioma. Živo novorođenče, telesne mase 2600 grama, rođeno je bez teškoća. Nakon zbrinjavanja histerotomije, učinjena je ekstrakcije najvećeg mioma (210 × 180 ×155 mm) i njegovo ležište je ušiveno u dva sloja. U toku miomektomije, korišćen je cell-saver i spasena je značajna količina krvi. Pošto je ustanovljena adekvatna hemostaza, odlučeno je da se ukloni i preostalih osam mioma, što je i učinjeno, bez otvaranja materične duplje. Zaključak: Mali je broj radova koji prikazuju intraoperativno "spasavanje krvi" kao tehniku kojom se rešava intraoperativno krvarenje u toku miomektomije, tokom carskog reza. Naš slučaj dokazuje da intraoperativno "spasavanje krvi" u kombinaciji sa velikim hirurškim iskustvom u klasičnoj miomektomiji značajno poboljšava ishod ovakvih operacija.

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Multigravida A.P., 37 years old, was referred at 32 weeks of gestation to tertiary ultrasound unit because of BPD adequate for 38 gestational weeks. At the detailed scan absence of the right lens was diagnosed (images a, b), borderline ventriculomegaly and macrocephaly. The rest of morphology was normal. Normal male karyotype was found and TORCH screening was negative. MRI confirmed aphakia of the right eye (images c, d), as well as borderline ventriculomegaly, with no additional brain anomalies. A male infant was delivered by elective Caesarean section, 4370 gr/56 cm, AS 9/9, HC 39 cm. On the scan of the neonatal brain a diagnosis of incipient hydrocephalus was made. Ophthalmologist confirmed aphakia of the right eye, with a congenital glaucoma on the same eye. The child was closely monitored and at 20 days of age a spontaneous perforation of the right cornea developed, subsequent evisceration of the bulbus was performed. At the same time a congenital glaucoma of the left eye was diagnosed and trepanotrabeculectomia was performed. Conclusion: Ocular examination should be a part of a routine fetal scan. US and/or MRI visualisation of fetal eyes structures may be used to detect different orbital and ocular pathology. The morphological eye anomalies identified prenatally have to raise a high index of clinical suspicion of the associated functional disturbances, which can be postnatally corrected.Supporting information can be found in the online version of this abstract. P20.13A case of congenital depression of the neonatal skull unassociated with birth trauma J. We, I. Park, J. Shin Obstetrics and Gynaecology Department, College of Medicine, Catholic University of Korea, Seoul, Republic of KoreaIn spite of the fact that there is general consensus opining that neonatal depressed skull fractures are caused largely by instrumental extraction, there are a few reports regarding congenital depression of the skull unrelated to external trauma. In the case herein, the mother did not have any history of abdominal trauma during pregnancy and the neonate was delivered vaginally without the use of instruments, yet a round depression was noted in the left parietal bone of the neonate at the time of delivery. Computed tomography with three dimensional reconstruction images was performed and a congenital depression of the neonatal skull without fracture was diagnosed.Supporting information can be found in the online version of this abstract. Objectives: To compare two different strategies using serum CA-125 determination or power Doppler assessment as second step techniques after gray-scale ultrasound for predicting malignancy in adnexal masses. Methods: This is a retrospective analysis comprising 1754 women (526 postmenopausal and 1228 premenopausal) diagnosed as having a persistent adnexal mass and scheduled for surgery. 155 women had bilateral masses providing a total of 1909 masses included in the study. Two different strategies were analyzed. First, all women were evaluated by transvaginal gray-scale ultrasound (B-mode) for...