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We describe a novel surgical technique in 31 women with histopathologically confirmed placenta accreta spectrum (PAS) disorders managed by a multidisciplinary team using a prophylactic infrarenal abdominal aortic cross‐clamping technique during caesarean hysterectomy. We conclude that this new surgical procedure is a relatively safe technique to potentially control operative blood loss. Our work may stimulate others to develop protocols assessing this innovative technique to improve the surgical outcome of PAS disorders. [ABSTRACT FROM AUTHOR]

Among several surgical techniques for the aforementioned conditions, the first strategy is a primary caesarean hysterectomy and partial cystectomy for scenario 1 and an extended hysterectomy with radical parametrectomy procedure for scenario 2. Authors' response Re: Some concerns regarding aortic cross-clamping in caesarean hysterectomy for placenta accreta spectrum (Re: Vascular control by infrarenal aortic cross-clamping in placenta accreta spectrum disorders: description of technique; something old, something new & something borrowed) I Sir, i We thank Matsubara and Fox for their insightful comments1,2 on our article.3 We agree with their point that the infrarenal aortic cross-clamping technique for placenta accreta spectrum (PAS) disorder ideally should be evaluated by well-designed, high-quality, prospective randomised controlled studies. [Extracted from the article]

Balloon occlusion of the infrarenal abdominal aorta theoretically provides the same level of pelvic perfusion blockage as our approach.3 A major disadvantage of this procedure is that the catheter must be placed before commencing the surgery,3 which may not be possible if a prenatal diagnosis of PAS disorder has not been made. I Sir, i We thank Nieto-Calvache et al. for their insightful comments1 on our article.2 We agree with their point that the choice of vascular control techniques should be determined by the topography and severity of placenta accreta spectrum (PAS) disorders. Authors' reply re: Vascular control by infrarenal aortic cross-clamping in placenta accreta spectrum disorders: description of technique. [Extracted from the article]

ABSTRACT A case of fetal axillary hemangiolymphangioma coexisting with intralesional hemorrhage is presented. At 27 weeks’ gestation, the fetus was found to have a 52 × 43-mm left axillary multilocular cystic mass which showed no signals on color Doppler. The mass was composed mostly of sonolucent spaces. At 29 weeks’ gestation, an arterial flow signal (15 cm/s) was detected within the mass. In addition, two low-density echogenic cystic spaces with bidirectional flow waveforms were found, which raised the suspicion of intratumoral bleeding. Two weeks later, a fine-needle aspiration of the mass revealed both straw-colored and chocolate-colored fluid. The tumor size increased from 52 × 43 mm at 27 weeks to 100 × 79 mm at 37 weeks. Blood clots developed gradually in the hemorrhagic spaces. The pregnancy proceeded smoothly to term and at 38 weeks an elective Cesarean section was performed. After a surgical excision of the mass at the age of 4 days, a mixed cavernous hemangioma and cystic lymphangioma with secondary intralesional hemorrhage was confirmed histopathologically. [ABSTRACT FROM AUTHOR]

Ureteral injuries are uncommon but serious complications of laparoscopically-assisted vaginal hysterectomy. The ureter is particularly at risk for inadvertent injury when the cardinal-uterosacral ligament complex is coagulated and divided below the uterine vessels. We present two recent cases which describe the application of transabdominal ultrasound including color Doppler mapping in the diagnosis of ureteral injury after laparoscopically-assisted vaginal hysterectomy. Transabdominal ultrasound including color Doppler mapping has great diagnostic potential as a method for non-invasive evaluation of post-operative ureteral conditions. Ultrasonic triads (absence of a ureteric jet, ascites, and the presence or absence of hydronephrosis) are capable of differentiating diagnosis of complete, partial, or nonobstructive surgical ureteral injuries. [ABSTRACT FROM AUTHOR]

A case of mixed intrahepatic arteriovenous shunts in a fetus diagnosed at 35 weeks' gestation is presented. Color Doppler ultrasonography in the fetal liver demonstrated complicated vascular connections fed by the hepatic arterial branches and drained into the portal and middle hepatic veins. Pulsed Doppler ultrasonography identified a high cardiac output state by the detection of increased flow velocities of the great vessels. The contribution of Doppler ultrasonography to hemodynamic changes is highlighted. The management is briefly discussed. [ABSTRACT FROM AUTHOR]

A letter to the editor is presented about a case of a 29-year-old woman who is diagnosed with an asymptomatic uterine rupture in a twin pregnancy.

Fetal cardiac hemangioma is rarely diagnosed prenatally. We present here a fetus with such a tumor diagnosed at 28 weeks' gestation. With the use of fetal echocardiography, a mixed echogenic mass protruding outward from the right atrial wall was observed. Moderate amounts of pericardial effusion were also found. Although no apparent blood flow signal was detected in the mass, fetal echocardiography showed signs suggestive of a hemangioma. Differential diagnosis, management and prognosis are discussed. [ABSTRACT FROM AUTHOR]

Describes a case of Krukenberg tumor secondary to gastric carcinoma in which the prenatal diagnosis was made using color Doppler sonography. Malignancy rate of ovarian tumors in pregnancy; Percentage of the symptoms and signs of Krukenberg tumor attributed to abdominal pain and mass; Description of the characteristic ultrasonographic appearance of Krukenberg tumor.