This technique seems to be effective for displacing the interposing bowel loop away from the sonication path in the HIFU treatment of fibroids in the anteverted
uterus, which is defined as the condition in which the uterus is tilted towards the abdomen.
Bimanual pelvic examination revealed anteverted
mobile non tender uterus of 10 weeks and fornixes were clear.
The uteri were anteverted
and anteflexed position in 24 cases (85 %).
She added,"The tilted posture or the misbalance and misalignment displaces the uterus from its physiological anteverted
or retroverted position and thereby causing pain during menstruation, intercourse, and other fertility-related issues."
Transvaginal ultrasound showed an anteverted
uterus, measuring 153 [cm.sup.3], with a heterogeneous pattern, with intramural leiomyomas at the posterior uterine wall.
Bimanual exam revealed that the uterus was anteverted
and normal in size.
The diagnosis of GD can be based on clinical findings including proportionate short stature, very short hands and feet, progressive joint limitation and contractures, distinctive facial features (round, full face; small nose with anteverted
nostrils; broad nasal bridge; thin upper lip with flat philtrum), thickened skin, and progressive cardiac valvular disease [1-4].
Physical examination showed clubfoot, low-set ears with dysplastic lobes and dysmorphic antihelix, anteverted
nostrils, arachnodactyly, low-set thumbs, bilateral clinodactyly of 5th finger of the hands, and varus foot.
Transvaginal ultrasound performed in the emergency department revealed an anteverted
, anteflexed gravid uterus with single live intrauterine pregnancy (Figures 1 and 2).
Clinical signs observed at birth include short limbs, small hands and feet, relative macrocephaly with a large anterior fontanelle and characteristic craniofacial abnormalities such as a prominent brow, depressed nasal bridge, a small anteverted
nose and relatively long philtrum.
He had facial dysmorphism suggestive of Noonan syndrome including frontal bossing, downslanting palpebral fissures, thick lips, anteverted
nose, low-set and posteriorly rotated ears and short webbed neck withlow posterior hairline, dental caries, thoracic deformation with pectus excavatum, hypospadias, cryptorchidism, fingers' hyperlaxity, valgus flat feet, loose excess skin on hands and heart murmur (Figure 1).
On physical examination, bilateral ptosis, epicanthus, bilateral limited outward gaze, depressed nasal bridge, anteverted
nostrils, thin upper lip, downturned mouth corners, and micrognathia were observed, the labial sulcus was obscure on the right side and the mouth corner was sliding to the left while crying (Picture 1).