2015-09-22  Case of the week # 407 - Philippe Jeanty  © Philippe Jeanty, MD, PhD  www.TheFetus.net

---

Case of the week # 407

November 5, 2015 - November 19, 2015 

Philippe Jeanty MD, PhD¹,  Badano Federico MD²

1. Inner Vision Womens Ultrasound, Nashville, TN, US.
2. FB - Diagnóstico por Imágenes, Entre Ríos, Argentina.


Case Report

This is a woman who came to our institution at 18 weeks 1 day gestation for the first time. Her clinical history was normal, with normal multiple previous pregnancies. Cell free DNA analysis in the first trimester was normal and revealed a male fetus.
She doesn´t received any medication during the whole pregnancy.

Ultrasounds performed at our institution at different times of gestation, showed the following findings:

18 weeks 1 day

Image 1, 2

 



30 weeks 4 days

Image 3 





35 weeks 1 day

Image 4

When you have tried to solve the case on your own (no team work here please !) you can find the Answer here.

• Other items by Jeanty
• • - Submit an Article-HTML
    
  • 3D artifact imitating Tessier cleft 7-HTML
    
  • 4DFetusView-HTML
    
  • Abdominal cysts, transient -HTML
    
  • Achondrogenesis -HTML
    
  • Achondrogenesis -HTML
    
  • Achondroplasia -HTML
    
  • Achondroplasia, video clip -HTML
    
  • Acrania in a twin, video clip-HTML
    
  • Acrania: review of 13 cases-HTML
    
  • Acrocephalopolysyndactyly -HTML
    
  • Acrofacial dysostosis syndromes -HTML
    
  • Acromesomelic dysplasia -HTML
    
  • Aicardi-HTML
    
  • AIDS embryopathy-HTML
    
  • All TheFetus.net users-HTML
    
  • Amniotic band syndrome-HTML
    
  • Amniotic band syndrome -HTML
    
  • Anencephaly, video clip -HTML
    
  • Aneurysm, left ventricle-HTML
    
  • Antley-Bixler syndrome -HTML
    
  • Aortic arch interruption-HTML
    
  • Aortic calcinosis-HTML
    
  • Apert syndrome-HTML
    
  • Arthrogryposis multiplex congenita -HTML
    
  • Asphyxiating thoracic dysplasia -HTML
    
  • Asplenia-polysplenia syndromes -HTML
    
  • Assessment of the fetus with a skeletal dysplasia -HTML
    
  • Atrial septal aneurysm-HTML
    
  • Atrioventricular septal defect, video clip-HTML
    
  • Autoamputation of cervical polyp presenting as spontaneous miscarriage-HTML
    
  • Beckwith-Wiedemann syndrome -HTML
    
  • Bicornuate uterus, 2nd trimester pregnancy-HTML
    
  • Bilateral club feet, video clip-HTML
    
  • Campomelic dysplasia -HTML
    
  • Campomelic dysplasia -HTML
    
  • Case of the week # 1 -Case
  • Case of the week # 6 -Case
  • Case of the week # 13 -Case
  • Case of the week # 14 -Case
  • Case of the week # 20 -Case
  • Case of the week # 21 -Case
  • Case of the week # 23 -Case
  • Case of the week # 31 -Case
  • Case of the week # 33 -Case
  • Case of the week # 379 -Case
  • Case of the week # 40 -Case
  • Case of the week # 427 -Case
  • Case of the week # 48 -Case
  • Case of the week # 52 -Case
  • Case of the week # 54 -Case
  • Case of the week # 56 -Case
  • Case of the week # 61 -Case
  • Case of the week # 64 -Case
  • Case of the week # 69 -Case
  • Case of the week # 74 -Case
  • Case of the week # 76 -Case
  • Case of the week # 79 -Case
  • Case of the week # 81 -Case
  • Case of the week # 86 -Case
  • Case of the week #109 -Case
  • Case of the week #110 -Case
  • Case of the week #133 -Case
  • Case of the week #134 -Case
  • Case of the week #139 -Case
  • Case of the week #141 -Case
  • Case of the week #143 -Case
  • Case of the week #149 -Case
  • Case of the week #172 -Case
  • Case of the week #199 -Case
  • Case of the week #224 -Case
  • Case of the week #247 -Case
  • Case of the week #258 -Case
  • Case of the week #298 -Case
  • Case of the week #300 -Case
  • Case of the week #309 -Case
  • Caudal regression syndrome-HTML
    
  • Cephalocele, video clips -HTML
    
  • Cerebrohepatorenal syndrome -HTML
    
  • Cervical incompetence -HTML
    
  • Chiari malformation-HTML
    
  • Chondrodysplasia punctata-HTML
    
  • Chromosome 14 ring-HTML
    
  • Chylothorax, video-clip-HTML
    
  • Cleft Lip Mini Presentation-HTML
    
  • Cleft lip, bilateral, video clip -HTML
    
  • Cleft-lip and anterior cleft-palate-HTML
    
  • Cloacal dysgenesis sequence -HTML
    
  • Cloverleaf skull or kleeblattschädel -HTML
    
  • Confined placental mosaicism (trisomy 13)-HTML
    
  • Congenital adrenal hyperplasia-HTML
    
  • Cord, velamentous insertion-video clip-HTML
    
  • Cornelia de Lange syndrome -HTML
    
  • Craniopharyngioma-HTML
    
  • Cryptophthalmos with other malformations -HTML
    
  • Cryptorchidism -HTML
    
  • Cystic adenomatoid malformation, video clip-HTML
    
  • Cystic hygroma -HTML
    
  • Cystic hygroma, anterior-HTML
    
  • Cystic hygroma, axillary -HTML
    
  • Cystic hygroma, video clip -HTML
    
  • Cystic teratoma-HTML
    
  • Cytomegalovirus infection-HTML
    
  • Cytomegalovirus infection with hydrocephalus-HTML
    
  • Cytomegalovirus, splenomegaly-HTML
    
  • Dacryocystocele -HTML
    
  • Dacryocystocele, 3D-HTML
    
  • Dandy Walker cyst, video clips-HTML
    
  • Diaphragmatic hernia, left sided, video clip-HTML
    
  • Diaphragmatic hernia, right-sided-HTML
    
  • Diastrophic dysplasia -HTML
    
  • Diverticulum of the right ventricle-HTML
    
  • Doppler artifact-HTML
    
  • Double inlet single ventricle-HTML
    
  • Ebstein anomaly -HTML
    
  • Ebstein anomaly, video clips -HTML
    
  • Echogenic amniotic fluid-HTML
    
  • Echogenic lung mass, disappearance -HTML
    
  • Ectopia cordis with pleural effusions -HTML
    
  • Ectopic pregnancy with decidual cast, video clip-HTML
    
  • Epidermal scalp cyst -HTML
    
  • Exstrophy of the cloaca sequence -HTML
    
  • Exstrophy of the cloaca, video clip-HTML
    
  • Fetal alcohol syndrome, fetal alcohol effects -HTML
    
  • Fetal Echo course in Novosibirsk, Russia-HTML
    
  • Fetal hydantoin syndrome -HTML
    
  • Fetal lithium effects -HTML
    
  • Fetal rubella syndrome-HTML
    
  • Fetal toxoplasmosis infection-HTML
    
  • Fetal valproic acid exposure syndrome -HTML
    
  • Fetal Varicella zoster-HTML
    
  • Fetus-in-fetu -HTML
    
  • Fetus-in-fetu-HTML
    
  • Fibroma-HTML
    
  • Fragile-X syndrome-HTML
    
  • Fraser syndrome -HTML
    
  • Fryns syndrome-HTML
    
  • Gallbladder, duplication -HTML
    
  • Gallbladder, prominent , video clip-HTML
    
  • Gallstones, video clip-HTML
    
  • Gastroschisis -HTML
    
  • Gastroschisis, video clip-HTML
    
  • Goldenhar syndrome -HTML
    
  • Heart-hand syndrome, type 1 -HTML
    
  • HELLP syndrome -HTML
    
  • Hemivertebra-HTML
    
  • Hemivertebra, video clip -HTML
    
  • Hepatic calcifications-HTML
    
  • Herpes Simplex infection-HTML
    
  • Heterotaxy, transposition, hypoplastic left heart, 3D Volume -HTML
    
  • Holoprosencephaly, overview-HTML
    
  • Holt-Oram syndrome -HTML
    
  • How to make an ultrasound phantom to teach ultrasound biopsy and guidance-HTML
    
  • How to prepare multimedia lectures-HTML
    
  • Hydranencephaly-HTML
    
  • Hydrocele -HTML
    
  • Hydrolethalus syndrome -HTML
    
  • Hydrops in twin pregnancy -HTML
    
  • Hydrops, unknown etiology, video clip-HTML
    
  • Hypophosphatasia -HTML
    
  • Hypoplastic left heart syndrome-HTML
    
  • Hypoplastic left heart syndrome, video clip-HTML
    
  • Ileal atresia, multiple, video clip-HTML
    
  • Improvements of ultrasound over the past 28 years-HTML
    
  • Increased nuchal lucency, video clip 1-HTML
    
  • Increased nuchal lucency, video-clip 2-HTML
    
  • Iniencephaly -HTML
    
  • Interhemispheric cyst-HTML
    
  • Intestinal hypoperistalsis, megacystis-microcolon -HTML
    
  • Introduction to fetal echocardiography -HTML
    
  • Joubert syndrome-HTML
    
  • Kidney duplication -HTML
    
  • Klippel-feil syndrome -HTML
    
  • Klippel-Trenaunay-Weber syndrome -HTML
    
  • Labial fusion-HTML
    
  • Larsen syndrome-HTML
    
  • Larynx, atresia -HTML
    
  • Lethal multiple pterygium syndrome -HTML
    
  • Lipoma of the placenta-HTML
    
  • Lissencephaly (type I)-HTML
    
  • Liver cyst -HTML
    
  • Lung sequestration, extralobar subdiaphragmatic -HTML
    
  • Lung sequestration, extralobar, intrathoracic, video clip-HTML
    
  • Macroglossia, video clip -HTML
    
  • Meckel syndrome -HTML
    
  • Meconium peritonitis -HTML
    
  • Membrane cyst, video clip-HTML
    
  • Meningocele, lumbar, video-clip-HTML
    
  • Mesocardia-HTML
    
  • Mesomelic dysplasia -HTML
    
  • Microcephalic osteodysplastic primordial dwarfism, (Type I-III) -HTML
    
  • Microcephaly-HTML
    
  • Monosomy X (Turner) Syndrome-HTML
    
  • Multicystic dysplastic kidneys, video clip -HTML
    
  • Myanmar Travel - 2017-HTML
    
  • Myanmar Travel -2018-HTML
    
  • Neu-Laxova syndromes-HTML
    
  • Neuroblastoma -HTML
    
  • Noonan syndrome-HTML
    
  • Oligohydramnios sequence -HTML
    
  • Omphalocele, video clips-HTML
    
  • Osteogenesis Imperfecta -HTML
    
  • Osteogenesis Imperfecta -HTML
    
  • Osteogenesis imperfecta, type II-HTML
    
  • Partial androgen insensitivity syndrome -HTML
    
  • Pena-Shokeir syndrome -HTML
    
  • Persistent right umbilical vein, video clip-HTML
    
  • Pfeiffer syndrome -HTML
    
  • Pierre Robin syndrome-HTML
    
  • Placenta circumvallate-HTML
    
  • Placenta membranacea -HTML
    
  • Poland syndrome -HTML
    
  • Polyhydramnios and small fetal stomach -HTML
    
  • Polysplenia syndrome-HTML
    
  • Post axial acrofacial dysostosis -HTML
    
  • Potter sequence -HTML
    
  • Premature closure of the foramen ovale -HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - Appendices-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - CNS-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - Cord-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - Face-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - Genital system-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - GI & Abdominal wall-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - Heart-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - Neck-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - Respiratory system-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - Skeleton-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - Twins and others-HTML
    
  • Prenatal Diagnosis of Congenital Anomalies - Urinary, Adrenals-HTML
    
  • Prenatal ultrasound findings of Smith-Lemli-Opitz syndrome-HTML
    
  • Prune-belly syndrome-HTML
    
  • Pseudo-omphalocele -HTML
    
  • Pulmonary atresia and ventricular septal defect-HTML
    
  • Renal agenesis, bilateral-HTML
    
  • Renal cyst, video clip-HTML
    
  • Right multicystic dysplastic kidney, video clip-HTML
    
  • Roberts-SC phocomelia syndrome-HTML
    
  • Sacrococcygeal teratoma, video clip-HTML
    
  • Schizencephaly, type II-HTML
    
  • Septo-optic dysplasia-HTML
    
  • Septo-optic dysplasia-HTML
    
  • Short rib-polydactyly syndrome -HTML
    
  • Sirenomelia -HTML
    
  • Sonographers Fetal Echo course -HTML
    
  • Sonographers Fetal Echo course 2007-HTML
    
  • Spina bifida-HTML
    
  • Spina bifida, video-clip-HTML
    
  • Split notochord syndrome -HTML
    
  • Sternum-HTML
    
  • Succenturiate & bilobate placenta-HTML
    
  • Supratentorial arachnoid cyst-HTML
    
  • Tetralogy of Fallot-HTML
    
  • Thanatophoric dysplasia -HTML
    
  • Thanatophoric dysplasia in monozygotic twins -HTML
    
  • Thanatophoric dysplasia, Type II-HTML
    
  • The ultrasound detection of chromosomal anomalies-HTML
    
  • TheFetus.net community in Google+-HTML
    
  • TheFetus.net Mission Statement-HTML
    
  • Thrombocytopenia-absent radius syndromes-HTML
    
  • Tracheoesophageal fistula, missed diagnosis -HTML
    
  • TRAP syndrome -HTML
    
  • TRAP, acardiac, ultrasound-guided embolization -HTML
    
  • Treacher Collins syndrome – role of 3D/4D ultrasound in the assessment of fetal facial dysmorphism-HTML
    
  • Triplet demise, video clip-HTML
    
  • Trisomy 13, nuchal fold-HTML
    
  • Trisomy 16-HTML
    
  • Trisomy 18, 11 weeks with nuchal translucency-HTML
    
  • Trisomy 21, video clip-HTML
    
  • True knot of the cord, video clip-HTML
    
  • Tuberous sclerosis -HTML
    
  • Twinkling artifact-HTML
    
  • Twins, conjoined-HTML
    
  • Twin-to-twin transfusion syndrome -HTML
    
  • Ultrasound diagnosis of quintuple nuchal cord entanglement and fetal stress-HTML
    
  • Umbilical cord anomalies-HTML
    
  • Umbilical vein varix, video-clip-HTML
    
  • Ureterocele -HTML
    
  • Ureterocele, ectopic -HTML
    
  • Ureteropelvic junction obstruction, video clips -HTML
    
  • Urethral agenesis-HTML
    
  • Urethral meatus agenesis-HTML
    
  • Uretreocele and unilateral multicystic dysplastic kidney, video clip -HTML
    
  • Uterine myoma and pregnancy -HTML
    
  • Uterine scar dehiscence-HTML
    
  • VACTERL association -HTML
    
  • Vanishing twin -HTML
    
  • Vasa previa -HTML
    
  • Vasa previa-HTML
    
  • Vasa Previa-HTML
    
  • Ventricular septal defect, muscular-HTML
    
  • Ventriculomegaly, video clip-HTML
    
  • Vocalization-HTML
    
  • Walker-Warburg syndrome -HTML
    
  • Week by Week-HTML
    
  • Winners of the case of the year for 2010 - Winners' list-HTML
    
  • Wormian bones-HTML