2000-08-04-05 Case of the week #31 © Jeanty www.thefetus.net/
Case #31
August 4-18, 2000
Submitted by Philippe Jeanty, MD, PhD, Ghada Mahmoud Mansour, MD*
Nashville TN.and *Cairo, Egypt.
This baby was seen on 3 examinations. The first at 26 weeks one day, then again at 29 weeks 5 days and 36 weeks 5 days. The following images (head, lips and kidneys) were obtained at 26 weeks:
The patient declined an amniocentesis. These are the images at 29 weeks
and finally at 36 weeks, the kidneys
a section through the upper arm and the head.
a representative section of the amniotic fluid
A Doppler examination of the cord
This is the growth curve of the baby
These are some of the growth measurements (the actual gestational age is under the date):
| | October 7
(26 weeks 1 day) | November 1
(29 weeks 5 days) | December 20
(36 weeks 5 days) |
| Biparietal
diameter | 58 mm = 23 weeks 6 days | 69 mm = 27 weeks 4 days | 85 mm = 34 weeks 2 days |
| Abdominal perimeter | 191 mm = 23 weeks 6 days | 220 mm = 26 weeks 3 days | 278 mm = 31 weeks 6 days |
| Femur length | 43 mm = 22 weeks 5 days | 51 mm = 27 weeks 1 day | 58 mm = 30 weeks 4 days |
When you have tried to solve the case on your own (no team work here please !) you can find the Answer