CASE 882: FETAL HYDROPS, Dr PHAN THANH HẢI, Dr JASMINE THANH XUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 25 year-old woman with the first normal pregnancy, but in the 21th week there was her fetal hydrops: pleural effusions both two sides, ascites and body edema.

Prenatal ultrasound detected fetal hydrops and helping guided thoracocentesis in 3 times for every  10 days.

At the 25th week, the fetus came back to normal status, no pleural effusion nor ascites and edema.

Amniotic fluid biopsy result no sign of infection. 

And no abnormal structure of the fetus to find out.

The continuity of follow-up are in progress for the case of unknown ascites and pleural effusion of the fetus in a normal pregnancy.

REFERENCE:

https://www.childrenshospital.org/conditions-treatments/hydrops-fetalis

CASE 880-881: ACHALASIA, Dr PHAN THANH HẢI , Dr ĐINH MINH TUẤN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 Two cases in women with epigastric discomfort and weight loss for one year.

Ultrasound and barium swallow test detected achalasia and confirmed later by gastroendoscopy.

CASE 1: Woman 30 year-old with loss of weight for one year.

CASE 2: Woman 27 year-old, weight loss for one year.

Esophagial dilation manoeuver were done for dilpatation of the narrrowed esophagus.

DISCUSSION:

After the esophagial dilation may get fibrosis of the narrow esophagial part.

And there were cases of pseudoachasia due to hernia and esophasial cancer.

CASE 878-879: ADRENAL TUMOR, Dr PHAN THANH HẢI, Dr TRƯƠNG THỊ MỸ HOÀNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 Two cases of right adrenal tumors in women detected spontanously by abdominal ultrasound and confirmed later by MRI [case 1] and MSCT (case 2).

Based on ADRENAL-RADS the two adrenal tumor were classified.

CASE 1: A 30 year-old HTA woman for 7 years; going to Medic in an hypertensive crisis # HTA=212/90mmHg, with a right adrenal tumor # 25x16mm on emergency ultrasound.

Surgery was done: Malignant cortex adrenal tumor. Post-op 2 months, coming back normal arterial tension and hormones.

CASE 2:  A 50 year-old woman in check-up,  with adrenal tumor # 21x23mm.

Surgery removed a right  adrenal adenoma.

CASE 877: ABDOMINAL PAIN due to FISHBONE: Dr PHAN THANH HẢI, Dr LÊ THỐNG NHẤT, MEDIC MEDICAL CENTER, HCMC , VIETNAM

 A 55 year-old man with abdominal pain for 3 days in right flank.

Ultrasound noted a  #46x12mm fluid-filled appendix.

But MSCT detected a wall-off transverse colon abscess with a # 14mm transwalled colonic fishbone.

Open surgery was done for removed partial colon with a fishbone.