First trimester pregnancy abnormalities may be detected by transvaginal ultrasonography at routine examinations or in cases where abnormal vaginal bleeding is present. Threatened miscarriage is frequently observed in the first trimester, occurring in more than one-third of pregnancies. The advent of high-resolution transvaginal ultrasonography has revolutionized the understanding of the pathophysiology and the management of early pregnancy. This method represents an essential tool for determining the pregnancy viability in cases of threatened miscarriage. An expectant approach in the management of miscarriage could significantly reduce the number of unnecessary evacuations of retained products of conception, depending on the adopted criteria.

Keywords: Miscarriage, Pregnancy abnormalities, Transvaginal ultrasonography

Spinal lipomas are rare, accounting for 1% of all spinal tumors and being associated with occult spinal dysraphism in more than 99% of cases. Such lesions are divided into three main types, namely, lipomyelomeningoceles, intradural lipomas, and filum terminale fibrolipomas. The present report describes a case of congenital lumbosacral lipoma associated with cutaneous stigmata of the lumbar dermal sinus type.

Keywords: Occult spinal dysraphism; Congenital dermal sinus; Intradural lipoma; Ultrasonography.