Picture Quiz

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Please name this congenital anomaly


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  Hint:
 

These pictures are 2D and 3D ultrasound scans of a fetus at about 12 weeks gestation in an elderly PG mother coming for routine antenatal follow up. What is the abnormality shown and what is its significance?
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  Hint:
This 17 years old patient presented with acute retention of urine and history of primary amenorrhea. On examination she had a normal looking hymen with no bulging. Her three dimensional ultrasonography and intraoperative findings are shown above.

What is the diagnosis?

Answer: (                         )

    

 
   
 

Hint:
This 30 years old lady, a Gravida 3rd Para 2+0, 35 weeks, presented to Ain Shams Maternity Hospital with this mass protruding from the vulva.

Answer: (Second degree uterine prolapse with marked oedema of anterior and posterior cervical lips)

 
   
 

Hint:
This is a slide of a routine pap smear of a 25 years-old lady, Gravida 3rd para 2, 10 weeks, coming for routine antenatal care.

Answer: (Vaginal Candidiasis)

 
   
  Hint:
These are four histopathology pictures of a granulomatous lesion in a biopsy from peritoneal implants. The biopsy was taken during diagnostic laparoscopy that also revealed severe pelvic adhesions causing tubal factor infertility.
 
 

Answer: ( peritoneal bilharziasis )

 

   

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Ain Shams Journal of Obstetrics and Gynecology (ASJOG®)