Introduction: The study of dead is to save the livings. Congenital malformations have become important cause of fetal and neonatal (perinatal) mortality in developed countries and would very soon be increasingly important determinants of fetal mortality in developing countries like India. The fetal autopsy plays the vital role in the conformation, identification of congenital anomalies and also for the counselling of the parents, to prevent the fetal congenital anomalies in further pregnancies. This study was undertaken with the purpose of finding out cause of death during the perinatal period at government kilpauk medical college Chennai and to study the clinical and pathological findings in fetal death. Methods: The retrospective study of congenital anomalies in fetal deaths was done at government kilpauk medical college Chennai over a time period of 1 years from june 2015 to June 2016. The present study included dead fetus.autopsy was performed by standard technique. External and internal findings are followed by histopathological examination and autopsy findings were compared with available ultrasound findings. Results: A total of 7 Autopsies performed. , there were 4 male and 3 female babies. Two babies showed external malformation and five babies showed internal congenital anomalies. Congenital anomalies were commonest in the birth weight group of 100-800 grams. Malformations of central nervous system, cardiovascular system and abdomen were most common followed by genitourinary and musculoskeletal system respectively. Conclusion: Perinatal deaths occurred in low birth weight and preterm babies. Study of malformations greatly helpful in genetic counselling and prenatal diagnosis in successive pregnancies.
Background: Size and body proportions at birth predict short and long term outcomes. The main determinant of perinatal mortality is low birth weight. Several development indicators like Biparietal diameter (BPD), Head Circumference (HC) and Femur Length (FL) are used to predict the gestational age. Aim: This study was designed to compare the accuracy of predicting gestational age by the measurements of biparietal diameter in the second and third trimester. Methods: This was a cross sectional study of uncomplicated 234 pregnant women of between 17 and 38 weeks of gestation. Results: Biparietal diameter measurements were tabulated against corresponding menstrual age and mean biparietal diameter. Conclusion: Accurate gestational age assessment is also essential in the evaluation of fetal growth and the detection of intrauterine growth restriction.
Choristomas are normal tissue in an abnormal location and are classified based on their predominant epithelial lining. They may contain fibrous tissue, skeletal muscle fibres, and nerve fibres. Neuromuscular choristoma (benign triton tumour) is a rare tumour that involves a large nerve trunk. Involvement of the cranial nerves by this lesion is exceptional; trigeminal nerve involvement is even rarer. This is a very rare case of intracranial trigeminal nerve neuromuscular choristoma which had an associated fatty component that also got ruptured, in a 30-year-old female who presented with a headache. The clinical presentation, radiological findings, pathological diagnosis for this case are discussed along with a review of the associated literature.
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