title: [Confrontation between ultrasound and fetopathological examination following therapeutic abortion performed in a maternity clinic in Tunisia].
abstract: This study aims to evaluate the value of prenatal ultrasound diagnosis by comparing it with the results of the fetopathological examination in case of therapeutic interruption of pregnancy for fetal indication. We conducted a retrospective descriptive and analytical study carried out over a three-year period from January 2013 to December 2015. It involved 66 fetuses autopsied after therapeutic interruption of pregnancy for fetal indication. Fetopathological examination confirmed ultrasound results in 63 cases (95.4%). In 18 cases (27.2%) there was a full match between the results of the prenatal diagnosis and those of the autopsy. Nine percent of fetal malformations were detected in the first trimester. The majority of malformations (72%) were detected in the second timester. Neurological malformations were the most frequent (60%), dominated by hydrocephalus and anencephaly. This study shows that, in our clinical context, even if ultrasound diagnosis is often non-exhaustive, its signs indicating the need for interruptions of pregnancy are correct. Fetopathological examination is used, in this case, to detect unknown malformations, making it possible to specify the diagnosis and to implement a strategy for subsequent pregnancies.
authors.affiliation: Service C du Centre de Maternité et de Néonatologie de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Kehila
authors.affiliation: Service C du Centre de Maternité et de Néonatologie de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Halouani
authors.affiliation: Service C du Centre de Maternité et de Néonatologie de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
authors.forename: Omar
authors.initials: O
authors.lastname: Touhami
authors.affiliation: Service C du Centre de Maternité et de Néonatologie de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
authors.forename: Hassine Saber
authors.initials: HS
authors.lastname: Abouda
authors.affiliation: Service de Gynécologie Obstétrique, CHU Farhat Hached, Faculté de Médecine de Sousse, Tunisie.
authors.forename: Abdeljalil
authors.initials: A
authors.lastname: Khlifi
authors.affiliation: Service C du Centre de Maternité et de Néonatologie de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
authors.forename: Rim Ben
authors.initials: RB
authors.lastname: Hmid
authors.affiliation: Service de Radiologie, Hopital Habib Thameur, Université Tunis El Manar, Tunisie.
authors.forename: Ines
authors.initials: I
authors.lastname: Benhassen
authors.affiliation: Service de Fœtopathologie du Centre de Maternité et de Néonatologie de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
authors.forename: Aida
authors.initials: A
authors.lastname: Masmoudi
authors.affiliation: Service C du Centre de Maternité et de Néonatologie de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
authors.forename: Mohamed Badis
authors.initials: MB
authors.lastname: Chanoufi
mesh_terms: D000025:Abortion, Eugenic / Q000379:methods*; D000328:Adult; D001344:Autopsy; D005260:Female; D005333:Fetus / Q000002:abnormalities / Q000000981:diagnostic imaging*; D006801:Humans; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011262:Pregnancy Trimester, Second; D011296:Prenatal Diagnosis / Q000379:methods*; D012189:Retrospective Studies; D014416:Tunisia; D016216:Ultrasonography, Prenatal / Q000379:methods*; D055815:Young Adult
keywords: Fetus; autopsy; interruption of pregnancy; malformation; prenatal ultrasound