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2004-04-29 Case of the week # 118 © Gourand www.thefetus.net/

Case of the week # 118

May 7-20, 2004

Luc Gourand, MD*, Irene Maire, MD**

* Maternite Les Bluets 75011 Paris. ** Biochemie pediatrique, Hospital Debrousse 69322 Lyon Cedex 05

Ultrasound examination in a 35-year-old patient G6 P5 with an "unremarkable" medical history.  The fetus did not move much during the examination.

Figure 1:

Figure 2

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Figure 4. (VB = Gallbaldder, E = Stomach)

Figure 5

In view of the findings an amniocentesis was performed.

When asked how she felt after the procedure, the mother declared she accepted the amniocentesis because she already had one 9 years ago because her fetus presented with the same features. She had simply “forgotten” to mention the story, because, she said, the memory of the lost child (IUD at 32 weeks) was still too painful. She had delivered three normal babies thereafter. Both amniocenteses reported a normal 46, XY karyotype.
After investigation we managed to find her previous file where the foetopathologist : (hepato splenomegaly) and the biochemist had concluded that the baby had ...... (fill in the blank !)

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

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