5TH CONGRESS OF THE ROMANIAN

SOCIETY OF ULTRASOUND IN
OBSTETRICS AND GYNECOLOGY

(Targu Mures, Romania, 20-22 April 2017)

Editors
Assoc. Prof. Simona Vldreanu, Prof. Claudiu Mrginean,
Prof. Radu Vldreanu

FILODIRITTO
INTERNATIONAL PROCEEDINGS

1
Log in to find out all the titles of our catalog
Follow Filodiritto Publisher on Facebook to learn about our new products

ISBN 978-88-95922-88-1

First Edition June 2017

Copyright 2017 Filodiritto Publisher

filodirittoeditore.com
inFOROmatica srl, Via Castiglione, 81, 40124 Bologna (Italy)
inforomatica.it
tel. 051 9843125 - Fax 051 9843529 - commerciale@filodiritto.com

Translation, total or partial adaptation, reproduction by any means (including films, microfilms, photocopies), as well as
electronic storage, are reserved for all the countries. Photocopies for personal use of the reader can be made in the 15%
limits for each volume upon payment to SIAE of the expected compensation as per the Art. 68, commi 4 and 5, of the law
22 April 1941 n. 633. Photocopies used for purposes of professional, economic or commercial nature, or however for
different needs from personal ones, can be carried out only after express authorization issued by CLEA Redi, Centro
Licenze e Autorizzazione per le Riproduzioni Editoriali, Corso di Porta Romana, 108 - 20122 Milano.
e-mail: autorizzazioni@clearedi.org, sito web: www.clearedi.org
2
INDEX

Foreword 16

Sonographic Diagnosis and Evolution of the Minor Anomalies of the Placenta

and Umbilical Cord 17
ARVTESCU C.A., CASAP S., BIGIU N.F., MARTINESCU C., DIMIENESCU O.G.

Vaginally Administration of Long Chain Polyunsaturated Fatty Acids Could Prevent

the Preterm Delivery 23
BADIU Diana, STERIU Liliana, IZVORANU Silvia, BREZEANU Dragos, TICA Vlad

Ultrasound Fetal Signs of Infection with Agents from TORCH Complex 27

BADIU Diana, NAVOLAN Dan, STERIU Liliana, IZVORANU Silvia,
BREZEANU Dragos, HANGAN Tony, TICA Vlad

First Trimester Screening Options after the Introduction of NIPT our Experience 34
BARBU Madalina, CERNEA Nicolae, COMANESCU Cristina, CAPITANESCU Razvan,
MARINAS Cristian, COMANESCU Alexandru

Ultrasound in Multiple Pregnancy Complicated with Single Intrauterine Fetal Demise 39

BERCEANU Costin, CRSTOIU Monica Mihaela, CIORTEA Rzvan, BO Mihaela,
BERCEANU Sabina

Ultrasound of Chorionicity and Amnionicity in First Trimester Multiple

Pregnancy Screening 45
BERCEANU Costin, CRSTOIU Monica Mihaela, CIORTEA Rzvan,
BOHLEA Roxana, BERCEANU Sabina

Fetal Urinary Tract Dilatation Prenatal Diagnosis, Prognosis

and Natural History 52
BERCEANU Costin, BRTIL Elvira, CRSTOIU Monica Mihela,
MEHEDINU Claudia, CIORTEA Rzvan, BERCEANU Sabina,
DONDERA Ana-Maria, GHEONEA Ioana Andreea

An Update on Imaging in Ovarian Endometriosis 60

BERCEANU Costin, CRSTOIU Monica Mihaela, CIORTEA Rzvan,
BOHLEA Roxana, BERCEANU Sabina, GHEONEA Ioana Andreea

Ultrasound Evaluation of the Posterior Perineal Compartment 67

BERCEANU Costin, CRSTOIU Monica Mihaela, BERCEANU Sabina,
CIORTEA Rzvan, BO Mihaela, GHEONEA Ioana Andreea

Antenatal Ultrasound Umbilical Cord Coiling Evaluation 73

BERNAD I. Sandor, MOZA Andreea, CRAINA Marius, BERNAD S. Elena

3
Ultrasound Evaluation of the Placenta and its Influence on the Fetal Wellbeing
at the Moment of Birth 78
BERNAD S. Elena, CRAINA Marius, BERNAD I. Sandor, MOZA Andreea

Risk Factors Association to Pregnancies Induced Hypertension 83

BERNAD S. Elena, BERNAD S. Ianos, MOZA Andreea, CRAINA Marius

Ultrasound Assessment of the Umbilical Cord Knot 88

BERNAD S. Elena, MOZA Andreea, BERNAD I. Sandor, CRAINA Marius

Fetal Size, Lipid Metabolism and their Relation to Maternal Adipokines 93

BODEAN Oana, CIRSTOIU Monica, MUNTEANU Octavian, VOICU Diana,
ALBU Andreea, HORHOIANU Irina, ARAMA Stefan

Clinical Implementation of Ultrasound Gynecological Examination Report

(software REGU) based on International Consensuses of Tumor Study Groups 99
BOHLEA Roxana Elena, TURCAN Gheorghe, CRSTOIU Monica Mihaela,
IONESCU Crngu, NEMESCU Drago, TURCAN Natalia, VLDREANU Radu

The Incidence of Prematurity and Associated Short-Term Complications in a

Multidisciplinary Emergency Hospital from Romania 105
BOHLEA Roxana, TURCAN Natalia, IONESCU Crngu, TOADER Oana,
NASTASIA erban, NECULCEA Diana, MOVILEANU Ioana,
MUNTEANU Octavian, CRSTOIU Monica

Ultrasound Diagnosis of Abnormal Adherent Placenta- Literature Review 113

BOHLEA Roxana Elena, TURCAN Natalia, IONESCU CRNGU Antoniu,
MEHEDINU Claudia, NASTASIA Serban, TOADER Oana,
MUNTEANU Octavian, CRSTOIU Monica Mihaela

Aspects of Ultrasound Imaging in the Genital Prolapse 120

BO Mihaela, BURNEI-RUSU Anca, MITRAN Mihai,
BOHILEA Roxana, NASTASIA Serban, COROLEUCA Catalin,
VLDREANU Radu

Hemodynamic and Neurological Changes in Twin-to-Twin Transfusions 125

BO Mihaela, BURNEI-RUSU Anca, ZAMIFIRESCU Vlad, POPESCU Simona,
COROLEUC Ctlin, IONESCU Crngu-Antoniu, VLDREANU Radu

Amniotic Shelfit is a Pathology? 132

POENARU Mircea O., BRAICU Flavia, STERIE Ionut E.,
STANESCU Anca D.

Normal Twin Pregnancy to Term Three Years after a Girl with Siamese Twins 137
BRAILA A., BRAILA M.B., DIRA L.M., VADUVA C.

Ultrasound Evaluation after Surgical Treatment of Pelvic Static

Disorders Using Polyprolylene Mesh 139
BRTIL Elvira, BRTIL Petre, COROLEUC Bogdan-Ctlin,
BO Mihaela, COMANDAU Diana-Elena

4
Ultrasound Assessment of Evolutive Outcome of First Trimester Pregnancy 145
BUCURI Carmen Elena, DICULESCU Doru, CIORTEA Razvan,
MALUTAN Andrei Mihai, IUHAS Cristian Ioan, BRATILA Elvira,
BERCEANU Costin, RADA Maria Patricia, MIHU Dan

Particularities of the First Trimester Ultrasound in Twin Pregnancy 150

BURNEI-RUSU Anca, COTMAN Reli, ZAMFIRESCU Vlad,
TRAISTARU Andrei, CRISTEA Carmen, BO Mihaela, VLADAREANU Radu

Intrauterine Growth Restriction Predictive Markers in Early Pregnancy 155

BURNEI-RUSU Anca, ZAMFIRESCU Vlad, BO Mihaela,
TRAISTARU Andrei, BOIANGIU Andreea, COTMAN Reli,
VLADAREANU Radu

Polyhydramnios with Spontaneous Remission Associated with Large

Placental Chorioangioma - Case Report 160
CRISTUREAN V-C., PELIN E., DEACU M., CARDON I.

Complete Corpus Callosum Agenesis, Imagistic Resources in Establishing

the Diagnosis Case Report 163
CHICEA Radu, NI Paula, ROI Cristian

Fibular Hemimelia With Unilateral Clubfoot (Equinovarus) Associated

with Oligodactily Case Report 167
CHICEA Radu, POPA Nicoleta, MODI Viviana

The Evaluation of the Ovarian Vascularisation in the Ovarian Hyperstimulation

Syndrome of the Assisted Human Reproductive Cycle 171
CHICEA Radu, CODRU Marian

Ultrasound Aspects of Foetal Annexes and their Implications on Foetal Prognosis 175
COMANDAU Diana-Elena, MIHAI Diana, COROLEUC Bogdan-Ctlin,
COROLEUC Ciprian-Andrei, MITRAN Mihai, BRTIL Elvira

3D Ultrasound Assesment of the Posterior Fossa Our Experience 182

COMANESCU Maria Cristina, CERNEA Nicolae, TANASE Florentina,
ILIESCU Dominic, COMANESCU Maria Victoria, COMANESCU Alexandru

Non-invasive Methods of Identifying Endometriosis Lesions According to

Localization for Optimal Surgical Management 187
COROLEUC Ctlin, BRTIL Cornel Petre, COROLEUC Ciprian,
BOHLEA Roxana, MITRAN Mihai, COMANDAU Diana, BRTIL Elvira

Is it Possible to Predict Stillbirth in the Third Trimester? 194

IONESCU Antoniu Cringu, POPESCU Ina, BANACU Mihail,
MATEI Alexandra, BOHLTEA Roxana, DIMITRIU Mihai

Ultrasound Diagnosis of Endometrial Cancer in Asymptomatic

Menopausal Women 199
IONESCU Cringu, BANACU Mihai, POPESCU Ina, IONESCU Andra,
VLADAREANU Simona, DIMITRIU Mihai

5
Ultrasound Contribution in the Neonatal Emergencies 203
CUCEREA Manuela, RUSNEAC Monika, SUCIU Laura, MARIAN Raluca,
SNTA Rka, GLIGA Carmen, TTAR Delia, GLL Zsuzsanna,
SIMON Mrta

Transperineal Ultrasound in the Evaluation Algorithm of

Lower Urinary Tract Symptoms 208
DA Adelina Loredana, COMANDAU Diana-Elena, NASTAS Ana,
COROLEUC Ctlin Bogdan, COROLEUC Ciprian Andrei,
BRTIL Elvira

Uterine Artery Doppler Flow Indices in Pregnant Women During the 11 Weeks
+ 0 Daysand 13 Weeks + 6 Days Gestational Ages: A Study of 201 Patients 213
DACU Voicu, FURU Gheorghe, FURU Cristian, ONEL Cristina,
STNESCU Casiana, TTARU Liliana, POPESCU Cristina, PUCHIA Maria

Uterine Artery Doppler Flow Indices in Pregnant Women During the 21 Weeks
+ 0 Days and 23 Weeks + 6 Days Gestational Ages: A Study of 138 Patients 219
DACU Voicu, FURU Gheorghe, FURU Cristian, ONEL Cristina,
STNESCU Casiana, TTARU Liliana, POPESCU Cristina, PUCHIA Maria

Ultrasound Evaluation of Pregnancies with Single Umbilical Artery (SUA) 225

DICULESCU Doru, MIHU Dan, CIORTEA Razvan, IUHAS Cristian,
OANCEA Mihaela, CRIHAN Dan, MLUAN Andrei, POP Daria

Assessment of Vaginal Delivery after Caesarean Section 231

DICULESCU Doru, MIHU Dan, POP Daria, CIORTEA Razvan,
OANCEA Mihaela, MOCAN-HOGNOGI Radu, MLUAN Andrei,
IUHAS Cristian

Central Nervous System Morphologic Assessment in the First Trimester

vs Second Trimester of Pregnancy. Experience of a Tertiary Center 236
ZORIL George Lucian, TUDORACHE tefania, MARINA Cristian,
FLOREA Maria, DRGUIN Roxana, PTRU Ciprian, COLETA Elena,
STOICA Alin, BURADA Florin, IOANA Mihai, CERNEA Nicolae,
ILIESCU Dominic

Correlations of the Fetal Anomaly Scan with Fetal Autopsy Results 242
OROP-FLOREA Maria, CAPITANESCU Razvan, DRGUIN Roxana-Cristina,
PTRU Ciprian Laureniu, ZORIL Lucian George, CIUREA Raluca,
MARINA Cristian, TUDORACHE tefania, NOVAC Marius,
DRAGOESCU Alice, STOICA Alin, GHEONEA Mihaela, COLETA Elena,
STEPAN Alex, SIMIONESCU Cristiana, CARA Monica, CERNEA Nicolae,
ILIESCU Dominic Gabriel

Ultrasound Evaluation on the Effects of the Cervical Ectropion Treatment 248

ILIESCU Dominic Gabriel, COTARCEA Smaranda, ADAM George,
DIROESCU Ciprian, STEFNESCU Cristina, DIROESCU Adela,
TUDORACHE tefania, NOVAC Marius, CIUREA Raluca, STEPAN Alex,
SIMIONESCU Cristiana, CARA Monica

6
Ultrasound in Labor from Gold Standard to Bad Practice 252
ILIESCU Dominic Gabriel, OROP-FLOREA Maria, PTRU Ciprian Laureniu,
ZORIL Lucian George, TUDORACHE tefania, COLETA Elena, NOVAC Marius,
CERNEA Nicolae, DRGUIN Roxana-Cristina

Sonopartogram Feasibility and Correlations with Clinical Partogram 258

DRGUIN Roxana-Cristina, OROP-FLOREA Maria, PTRU Ciprian Laureniu,
MARINA Cristian, GHEONEA Mihaela, CERNEA Nicolae, TUDORACHE tefania,
ILIESCU Dominic Gabriel

Ultrasound Longitudinal Evaluation of Fetal Head Engagement before

the Onset of Labor. A Clinical Protocol and Pilot Study 263
DRGUIN Roxana-Cristina, OROP-FLOREA Maria, PTRU Ciprian Laureniu,
ZORIL Lucian George, SIRBU Mirela, CERNEA Nicolae, TUDORACHE tefania,
ILIESCU Dominic Gabriel

Dynamics in Ultrasound Findings in Conservative Management of

Total Placenta Praevia Accreta 269
FILIPESCU George Alexandru, CLIM Nicoleta, MILULESCU Amelia,
BOIANGIU Andreea, SOLOMON Oana, ALI Saphia, VLADAREANU Radu

Early Detection of Congenital Diaphragmatic Hernia Case Report

and Literature Review 273
FILIPESCU George Alexandru, BURNEI RUSU Anca, ZVANCA Mona,
SOLOMON Oana Alina, CLIM Nicoleta, MILULESCU Amelia,
BOIANGIU Andreea Gratiana, VLADAREANU Radu

Imagistic Findings and Outcome in Uterine Leyomiosarcoma with

Liposarcomatous Differentiation Case Report and Literature Review 278
FILIPESCU George Alexandru, SOLOMON Oana Alina, CLIM Nicoleta,
MILULESCU Amelia, BOIANGIU Andreea Gratiana, BACALBASA Nicolae

Velamentous Insertion of Umbilical Cord with Vasa Praevia: Case Report

and Literature Review 283
FILIPESCU George Alexandru, ALI Saphia, SOLOMON Oana Alina,
CLIM Nicoleta, MILULESCU Amelia, BOIANGIU Andreea Gratiana,
BACALBASA Nicolae

Key Points in the Management of the False Results at the First Trimester (FT) Scan 288
OROP-FLOREA Maria, DRGUIN Roxana-Cristina, PTRU Ciprian Laureniu,
ZORIL Lucian George, TUDORACHE tefania, CARA Monica, CIUREA Raluca,
STEPAN Alex, SIMIONESCU Cristiana, MARINA Cristian,
OROP Virgiliu-Bogdan, DRGOESCU Alice Nicoleta, SRBU Carmen Mirela,
CERNEA Nicolae, IOANA Mihai, BURADA Florin, ILIESCU Dominic Gabriel

Differential Diagnosis between Double Outlet Right Ventricle and Transposition

of Great Arteries 294
HERGHELEGIU Catalin Gabriel, BACALBASA Nicolae,
OPRESCU Daniela Nuti

7
A Simplified Protocol for Congenital Heart Disease 298
HERGHELEGIU Catalin Gabriel, DRAGAN Ioana, SUCIU Nicolae,
OPRESCU Daniela Nuti

Non Ovarian Endometriosis 303

HORHOIANU Irina-Adriana, BODEAN Oana, VOICU Diana,
BRANESCU Doina, MUNTEANU Octavian, HORHOIANU Vasile Valerica,
CIRSTOIU Monica

Fulminant Outcome in Antenatal Volvulus Case Report 308

IONESCU Claudiu, MUNTEANU Alexandra, DAMIAN Eliza,
VLADAREANU Radu

Toxoplasma Gondii Infection and the Signs of Fetal Affection During Pregnancy
as Seen on Ultrasound 313
ISPAS C.A., BUJOR-MORARU M., BIBIRE A., ISOPESCU F., GARDESCU M.J.,
TEODORESCU C., EDU A.

Yolk Sac and Embryonic Heart Rate as Predictors for Early Pregnancy Loss 318
MANOLEA Maria Magdalena, DIJMRESCU Lorena, NEAMU Simona,
ILIESCU Dominic, TUDORACHE tefania, SNDULESCU Sidonia,
NOVAC Marius

The Challenge of Diagnosis in Pediatric Pulmonary Tuberculosis

A Case Report and a Review of the Literature 324
MARGINEAN Cristina Oana, MELIT Lorena Elena, MARGINEAN Claudiu,
MAN Lidia, MARGINEAN Maria Oana

Prenatal Ultrasonographic Evaluation and Management of Fetal

Intra-Abdominal Cystic Masses. Experience of a Tertiary Centre 330
MARINA Marius Cristian, TUDORACHE tefania, ZORIL George Lucian,
FLOREA Maria, PTRU Ciprian Laureniu, DRGUIN Roxana Cristina,
COMNESCU Maria Cristina, STOICA Alin, ILIESCU Dominic Gabriel

The Role of Ultrasound Screening in the Neonatal Period

The Detection and Monitoring of Neonatal Pathology with Prenatal,
as well as of Postnatal Onset 334
SIMON Marta, GALL Zsuzsanna, SUCIU Laura, MARIAN Raluca,
SANTA Reka, RUSNEAC Monika, GLIGA Carmen, CUCEREA Manuela

A Correlation between the Dynamics of the Ultrasonographic Aspect,

Serum Biochemical Marker and Desogestrel Treatment
in Ovarian Endometrioma 340
MATASARIU Roxana, ONOFRIESCU Mircea, BUJOR Iuliana, MACSIM Ioana,
TANASE Adina, MIHAIL Alexandra, URSACHE Alexandra, DUMITRACU Irina

Pre-and Postnatal Diagnosis of 22q11 Deletion Syndrome Associated

with Cardiac and Extracardiac Manifestations Case Report 344
MATASARIU Roxana, ONOFRIESCU Mircea, MIHAIL Alexandra,
BUJOR Iuliana, MACSIM Ioana, TANASE Adina, ILIEV Gheorghe,
MIHALCEANU Elena
8
Subcapsular Hepatic Hematoma a Rare Complication of
HELLP Syndrome Case Report 350
MATASARIU Roxana, ONOFRIESCU Mircea, BUJOR Iuliana,
MACSIM Ioana, TANASE Adina, MIHAIL Alexandra,
DUMITRACU Irina, RESMERITA Andreea Mihaela

Prediction of Preterm Delivery Using Ultrasound Evaluation of

Cervical Length in Patients with Elective Prophylactic Cervical Cerclage
Review Article 354
MEHEDINU Claudia, ANTONOVICI Marina, CRSTOIU Monica,
BERCEANU Costin, BRTIL Elvira, VLDREANU Simona,
BOHLEA Roxana, NASTASIA erban, IONESCU Oana

Ultrasound Diagnosis of Endometriosis Short Review 359

MEHEDINU Claudia, BOHLEA Roxana, ISOPESCU Florin,
ROTARU Ana Maria, ANTONOVICI Marina, IONESCU Oana

Ultrasonography A Useful Tool Regarding the Route of

Hysterectomy for Benign Diseases 364
MEHEDINU Claudia, BOHLEA Roxana, IONESCU Sorin,
NASTASIA erban, IONESCU Oana, ANTONOVICI Marina

Trisomy 13 Accidentally Discovered Case Report 369

ANTONOVICI Marina, BO Mihaela, PLOTOGEA Mihaela,
IONESCU Sorin, ROTARU Ana Maria, IONESCU Oana

Relevance of Endorectal Ultrasound in Planning the Surgical Management of

Patients with Deep Infiltrating Endometriosis 373
MEHEDINU Claudia, BOHLEA Roxana, IONESCU Sorin,
ROTARU Ana Maria, IONESCU Oana, ANTONOVICI Marina,
ROMAN Horace

The Evolution and Prognosis of Fetal Ovarian Cysts. Our Clinical Experience
and Review of the Literature 378
MIHAI Diana, COMANDAU Diana, MITRAN Mihai, BOHLEA Roxana,
BRTIL Elvira

Cervical Choriocarcinoma - Conservative Treatment 385

MILULESCU Amelia, FILIPESCU Alexandru, SOLOMON Oana,
CLIM Nicoleta, BOIANGIU Andreea, NITIPIR Cornelia, CIRSTOIU Monica,
VLADAREANU Radu

Diagnostic approach and management of selective intrauterine growth restriction

in monochorionic twins 389
MILULESCU Amelia, FILIPESCU Alexandru, SOLOMON Oana, CLIM Nicoleta,
BOIANGIU Andreea, BACALBASA Nicolae, VLADAREANU Radu

Ultrasound Diagnosis and Management in Isolated Bilateral Fetal

Pleural Effusion in a HIV Positive Patient Case Report 392
MITRAN Mihai, VELICU Octavia, ERBAN Marcela, DIACONU Ioan,
PLE Liana, NASTASIA erban, VLADAREANU Simona, BRTIL Elvira
9
Single Umbilical Artery and Its Associated Findings 396
MOISEI Cristina, IURIET Irina, LESNIC Anca

The Role of Fetal Doppler Monitoring in Preeclampsia

With/without Intrauterine Growth Delay 401
MOLDOVEANU (SAID) Amira Livia, OPRESCU Daniela-Nuti,
CATANESCU NOVAC Violeta, DRAGAN Ioana, NOVAC Marius

Birth in Very Young Teenagers (less than 16 Years Old) 406

NASTASIA erban, BOHLEA Roxana, DUMITRESCU Ruxandra,
RUSSU Manuela Cristina

Rare Anatomical Variant of Septate Uterus A Case Report 410

NASTASIA erban, ZAHARIA Oana, DUMITRESCU Ruxandra,
BOHILTEA Roxana

Dicephalic Conjoined Twins The Role of 4D Ultrasound 414

NASTASIA erban

Structured Documentation in Antenatal Medicine:

a Way to Establish a National Register? 418
NAVOLAN Dan, CIOHAT Ioana, ONOFRIESCU Alina, RATIU Adrian,
CHIRIAC Daniela, OLARU Flavius, CARABINEANU Adrian,
CRAINA Marius, BIRSASTEANU Florin

Influence of Mode of Determination of Gestational Age on Second

Trimester Biochemical Markers Evaluation: Preliminary Results 424
NAVOLAN Dan, ONOFRIESCU Alina, CIOHAT Ioana, FARCA Simona,
CRAINA Marius, CRCIUNESCU Mihaela, BRSTEANU Florin

Ultrasound Safety of the First Trimester Prenatal Screening 428

NEMESCU Dragos, BOHILTEA Roxana, ONOFRIESCU Mircea,
ROTARIU Cristian

Screening of Fetal Aneuploidy at 11 to 13+6 Weeks Gestation in Local Practice 434

NEMESCU Dragos, LUCA Alexandru, POTICA Ionelia, BRATIE Adina,
MIHAILA Alexandra, ONOFRIESCU Mircea

Uterine Fibroids: the Conservative Management 439

NENCIU Ctlin George, AFLOAREA Adina Elena, ALBU Andreea Ruxandra,
HORHOIANU Irina, HORHOIANU Vasile Valerica,
DUMITRACU Mihai Cristian

The Use of Doppler Ultrasound as Early Parameter for Detection of

Fetal Compromise in Restricted Fetuses 445
NOVAC Liliana, TUDORACHE Stefania, MANOLEA Magda,
DIJMARESCU Lorena, NOVAC Violeta, MIESCU Mihaela,
MOLDOVEANU Amira, VRABIE Sidonia, CAMEN Ioana, ILIESCU Dominic

10
Evaluation of Uteroplacental Circulation by Doppler Ultrasound
in Pregnant Women at Risk, for the Prediction of Preeclampsia 450
OANCEA Mihaela, CIORTEA Razvan, DICULESCU Doru, TRIF Ioana,
MIHU Dan

The Role of Doppler Ultrasound in Assessing Fetal Status 457

OANCEA Mihaela, DICULESCU Doru, IUHAS Cristian, CIORTEA Rzvan,
MIHU Dan

Primary Microcephaly: Difficulties of Prenatal Diagnosis

and Parental Counselling 464
OPRESCU Daniela-Nuti, FETECAU Andreea, MOLDOVEANU-SAID Amira,
IONESCU Crngu-Antoniu, DRAGAN Ioana

Fetal Heart in the First Trimester. The Added Value of

the Outflow Tracts Evaluation 471
PTRU Ciprian Laureniu, ILIESCU Dominic Gabriel, TNASE Florentina,
DRGUIN Roxana-Cristina, OROP-FLOREA Maria, CPITNESCU Rzvan,
COMNECU Alexandru, PAN Rzvan Cosmin, ZORIL Lucian George,
MARINA Marius Cristian, NOVAC Marius, STOICA Alin, SRBU Mirela,
CERNEA Nicolae, TUDORACHE tefania

First Trimester Screening for Congenital Fetal Limb Anomalies 476

PTRU Ciprian Laureniu, TUDORACHE tefania, DRGUIN Roxana-Cristina,
OROP-FLOREA Maria, CPITNESCU Rzvan, ZORIL Lucian George,
MARINA Marius Cristian, MIESCU Mihaela, CERNEA Nicolae,
ILIESCU Dominic Gabriel

Paraclinical Correlations and the Macroscopic Aspect of Placenta

in Cases of HTAIS Diagnosis 482
TOTH George, PETRE Izabella, CRAINA Marius, MOLERIU Radu Dumitru,
BOGLUT Angela, IACOB Daniela, IONITA Ioana,
MILOICOV Oana Codruta Bacean

Corroboration of Ultrasound Aspects with the AL CA -125 Seric Levels

and with Intraoperative Laparoscopic Images in Cases of Pelvic Endometriosis 487
GOBJILA Carolina, PETRE Izabella, CRAINA Marius, IONITA Ioana,
MOLERIU Radu Dumitru, BOGLUT Angela, MILOICOV Oana Codruta Bacean,
CRACIUN Lavinia

Psychosocial Impact of HIV/AIDS Infection on Pregnant Woman

Case Report 492
URSOIU Fulvia, PETRE Izabella, CRAINA Marius, MOLERIU Radu Dumitru,
BOGLUT Angela, MILOICOV Oana Codruta Bacean, IONITA Ioana,
PUSCHITA Maria

Thrombophilia and Pregnancy 497

IORDACHE Olivera, PETRE Izabella, CRAINA Marius, MOLERIU Radu Dumitru,
BOGLUT Angela, IACOB Daniela, MILOICOV Oana Codruta Bacean,
IONITA Ioana

11
Twin Reversed Arterial Perfusion Sequence: Case Report 501
PIRTEA Laureniu, BALINT Oana, SECOAN Cristina, MURARIU Alin,
GRIGORA Dorin

The Importance of a National Congenital Anomalies Registry

the Role of the Prenatal Diagnosi 505
PLES Liana, SIMA Romina Marina, STANESCU Anca Daniela,
OLARU Gabriel Octavian

The Importance of Three-Dimensional Ultrasound in the Diagnosis

of Mllerian Malformations 511
PLES Liana, ALEXANDRESCU Catalina, POIENARU Mircea Octavian,
PELINESCU-ONCIUL Dimitrie

Screening of Aneuploidy. Our Experience 515

POPESCU Dragos, CHICEA Radu, TURCANU Denis, POPESCU Cristina

Rare Case of Fallopian Tube Torsion Associated with Hematosalpinx

in the Last Trimester of Pregnacy 519
POPESCU Drago, CHICEA Radu, URCANU Denis, LODROMNEAN Diana,
POPESCU Cristina

Spina Bifida, Arnold Chiari II Malformation and Ventriculomegaly Associated

with Third Ventricle Dilation and Cavum Veli Interpositi Cyst 522
POPESCU Drago, POPA Nicoleta, OGNEAN Livia, MATEI Claudiu,
BOERA Lcrmioara, MODI Viviana

Prenatal Diagnosis of Isolated Total Abnormal Pulmonary Venous Connection

during Routine Ultrasound Scans: Case Studies and Literature Review 527
PUIU Serghei, TAMBALA Carolina

The Role of Ultrasound Examination in Assessment of Fetal Heart Anomalies

During the First Trimester of Pregnancy 532
RADA Maria Patricia, CIORTEA Razvan, MALUTAN Andrei Mihai,
IUHAS Cristian Ioan, BUCURI Carmen Elena, BALTOAICA Razvan,
MIHU Dan

The Sonographic Follow Up of Diabetic Pregnancy 537

ROTAR Ioana Cristina, MURESAN Daniel

Role and Benefits of Trans-Perineal Echography during the Second Phase

of Labour in Predicting the End of Delivery A Systematic Review 543
SNDULESCU Sidonia Maria, VELISCU CARP Andreea, GHOERMAN Valeriu,
MANOLEA Magdalena, TANASE Florentina, VICOL Ramona Mircea,
GEAMBASU Oana, PATRASCU Anca

Fetal and Neonatal Heart Rhabdomyomas Follow Up and Outcome 547

SOCOLOV Demetra, ILEA Ciprian, CARAULEANU Alexandru,
STAMATIN Maria, PADURARIU Luminita, BORDEIANU Veronica,
LUCA Alina, RUSSU Georgiana, POPOVICI Diana, SOCOLOV Razvan

12
The Conservative Management of Interstitial (cornual) Pregnancy Based on
Close Ultrasound and Biological Monitoring. A Clinical Study
and Review of Literature 554
SOCOLOV Razvan, GRIGORE Mihaela, PRICOPIE Adina, ROTARU Cezar,
CARAULEANU Alexandru, SOCOLOV Demetra

The Role of Ultrasound in Preoperative Diagnosis of Adnexal Tumors 560

STANESCU Anca Daniela, BALALAU Denisa Oana, OLARU Octavian Gabriel,
BALALAU Cristian, RICU Anca Eugenia

Maternal Hemodynamics in Fetal Growth Restriction 566

SIMA Romina-Marina, POENARU Mircea-Octavian,
STNESCU Anca-Daniela, PLE Liana

Gigantic Superior Polar Renal Cyst Discovered During Pregnancy-Evolution,

Complications and Therapeutical Approach 571
TANASE Adina Elena, TIBEICA Alexandra, PETICA Mirabela,
MATASARIU (ALBU) Roxana, ONOFRIESCU Mircea

Multiple Scarred Uterus Post Caesarean Intervention and Associated

Abnormal Implantation Placenta An Experience of Cuza-Voda Clinic, Iasi 576
TANASE Adina Elena, TIBEICA Alexandra, PETICA Mirabela,
MATASARIU (ALBU) Roxana, ONOFRIESCU Mircea

Monochorionic Pregnancy-Diagnostic Difficulties, Complications and

Treatment in 2 Case Presentations 582
TANASE Adina Elena, TIBEICA Alexandra, PETICA Mirabela,
MATASARIU (ALBU) Roxana, BERESCU Anca, ONOFRIESCU Mircea

The Role of Transvaginal Ultrasound in the Diagnosis of Endometrial and

Intracavitary Pathology According to Standardised International
Endometrial Tumor Analysis (IETA) Group Consensus 587
TRNOVANU Mihaela Camelia, PASAT Sebastian, COZOREANU Ana Maria,
CARA Andreea Raluca, TRNOVANU tefan Drago, ONOFRIESCU Mircea,
BOICULESE Vasile Lucian

Ultrasound Markers in Early Pregnancy Predictive for Preeclampsia 593

TRAISTARU Vlad Andrei, ZAMFIRESCU Vlad, BURNEI-RUSU Anca,
BOHLEA Roxana, NASTASIA erban, VLDREANU Radu

Ultrasound Markers in Early Pregnancy Predictive for Preterm Birth 598

TRAISTARU Vlad Andrei, BURNEI-RUSU Anca, ZAMFIRESCU Vlad,
NASTASIA erban, BOHILEA Roxana, VLADAREANU Radu

First Trimester Screening for Isolated Major Congenital Heart Diseases:

One Only Volumetric Ultrasound Marker 603
TUDORACHE Stefania, SOROP-FLOREA Maria, DRAGUSIN Roxana Cristina,
PATRU Ciprian Laurentiu, MARINAS Cristian, ZORILA George Lucian,
UNGUREANU Anda, GHEONEA Mihaela, CERNEA Nicolae,
ILIESCU Dominic Gabriel, CARA Laura Monica

13
Uterine Mullerian Anomalies: Why and When Three-dimensional
Transvaginal Ultrasound? Why and When Magnetic Resonance Imaging? 610
TUDORACHE Stefania, NOVAC Violeta, GHEONEA Ioana Andreea,
CONSTANTIN Cristian, DEACONU Andrei, SOROP-FLOREA Maria,
DRAGUSIN Roxana Cristina, PATRU Ciprian Laurentiu, DINU Marina,
CEAUSESCU Elena Andreea, CARA Laura Monica, ILIESCU Dominic Gabriel

Ovarian Tumors Pattern Recognition and Limits of the Method.

Descriptive Review 617
TUDORACHE Stefania, NOVAC Marius Bogdan, SIMIONESCU Cristiana,
SOROP-FLOREA Maria, DRAGUSIN Roxana Cristina,
PATRU Ciprian Laurentiu, DINU Marina, CEAUSESCU Elena Andreea,
CIUREA Raluca Niculina, ILIESCU Dominic Gabriel

Ultrasound and Clinical Correlations in Apert Syndrome 623

VARLAS Valentin, BOSTAN Georgiana, GEORGESCU Dragos

Congenital Diaphragmatic Hernia: Prenatal Diagnosis, Outcome Results

and Counseling Single Center Experience 629
VARLAS Valentin, BOSTAN Georgiana

Fetal Thyroid: Ultrasonographic and Hormonal Evaluation in

Normal Pregnancy, Premature Birth and Preeclamptic IUGR 634
VARLAS Valentin, BOSTAN Georgiana, GHEORGHIU Monica Livia

Ultrasound as Useful Tool in a Challenging Case of Idiopathic Central

Precocious Puberty in Association with Non-functioning
Pituitary Microadenoma 640
VASILIU Cristina, ALBU Simona Elena, CARSOTE Mara,
VALEA Ana

Ultrasound Assessment in Endometrial Cancer 645

VASILIU Cristina, KLEIN Adriana, BACALBASA Nicolae, CARSOTE Mara,
STOIAN Vasile Razvan, GRIGORIU Corina, ALBU Simona Elena

ICT Solution Supporting Collaboration between Clinicians 649

CRIAN-VIDA Mihaela, VLDULESCU Alexandra,
STOICU-TIVADAR Lcrmioara, MOZA Andreea, BERNAD Elena

Twin Pregnancy a Challenge in Therapeutic Approach 654

TOADER Oana, SUCIU Nicolae, VOICHITOIU Andrei,
CIRSTOIU Monica, BOHILTEA Roxana, ESANU Sorin,
VINTEA Alexandra

Cesarean Scar Defects - an Underdiagnosed Cause for Abnormal

Uterine Bleeding and Other Gynecologic Complications 660
TOADER Oana, FETECAU Andreea-Catalina, SUCIU Nicolae,
VOICHITOIU Andrei, CIRSTOIU Monica, BOHILTEA Roxana,
FIRTA Anca-Roxana

14
Ultrasonography Aspects of Multisystem Organ Involvement and
Extracerebral Lesions in Hypoxic-Ischemic Encephalopathy of the Neonate 664
VLDREANU Simona, POPESCU Simona, BO Mihaela,
BERCEANU Costin, BRTIL Elvir, COROLEUC Ctlin

The Role of Cranial Ultrasonography in the Evaluation of Neonates

with Hypoxic-Ischemic Encephalopathy 670
VLDREANU Simona, POPESCU Simona, BO Mihaela,
BERCEANU Costin, MEHEDINTU Claudia, COROLEUC Catalin

Fetal Growth Restriction and Thrombophilia 675

VOICU Diana, VASILESCU Sorin, MUNTEANU Octavian,
BODEAN Oana, ALBU Ruxandra, HORHOIANU Irina,
BOERU Calin, CIRSTOIU Monica

Transvaginal Sonography First Imaging Tool to Evaluate

Suspected Endometriosis 680
ZAMFIRESCU Vlad, TRAISTARU Andrei, BURNEI-RUSU Anca,
MARIN Alina, BOIANGIU Andreea, BO Mihaela,
VLADAREANU Radu

Ultrasound Versus MRI in Fetal Neuroimaging 684

ZAMFIRESCU Vlad, TRAISTARU Andrei, BURNEI-RUSU Anca,
MARIN Alina, COROLEUCA Catalin, VLADAREANU Radu

15
FOREWORD

During the last 30 years the ultrasound has completely changed the prenatal and gynecological
diagnosis. Its implications in the clinical practice of obstetrics and gynecology and the use of more
and more performing ultrasound machines, have been materialized throughout time in numerous
ultrasound meetings and publications.

The Romanian Ultrasound Society in Obstetrics and Gynecology is a young and dynamic society.
The annual congresses of this society attract in various university cities of Romania an increasingly
higher number of participants and scientific papers. This year, Trgu Mure, a town situated in the
heart of the country, has been honored to be the host of the fifth Congress of this Society. Expanding
on three days, the meeting reunited 731 participants and over 100 invited speakers from the country
and from abroad. The congress sections included presentations from allhot topics in ultrasound in
obstetrics and gynecology: fetal heart, ultrasound during labour, alert signs for chromosomal
abnormalities, first trimester screening ultrasound, fetal DNA implications, ultrasound in
urogynecology, infertility, breast, endometriosis and others. The pre-selection of the uploaded
scientific papers led to a number of 153 oral presentations and 69 e-posters. These papers gathered
the work of a generation of sonographers in obstetrics and gynecology from Romania.

The representative papers of this congress were proposed for publishing in this volume. We
selected a number of 128 papers that we are sure the reader will find to be significant and to bring
important scientific information consistent in all topics related to ultrasound in obstetrics and
gynecology.

Editors:
Assoc. Prof. Simona Vldreanu

Prof. Claudiu Mrginean

Prof. Radu Vldreanu

16