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2007-05-02-12 Answer to the case of the week #200 © Acosta www.TheFetus.net


Answer to the case of the week #200

August 23 - September 6, 2007.

Sheryl Rodts-Palenik, MD.

Acadiana Maternal-Fetal Medicine, 4630 Ambassador Caffery, Suite 204, Lafayette, Louisiana 70508, Tel: (337) 989-9826 Fax: (337) 989-9829, USA.

 

The patient is a petite white female, G2P1 referred at 22 weeks gestation secondary to a facial mass near the right eye noted on ultrasound.  She has no significant past medical history nor is there any history of congenital defects in either her or her husband’s family. Her last pregnancy was uncomplicatedThese are some 2D and 3D ultrasound images taken between 22nd and 34th week of pregnancy. Karyotype of the fetus was normal. The baby was delivered at term and the mass was found to be a lateral nasal proboscis.

Images 1, 2: 22 weeks. Gray scale (image 1) and color Doppler (image 2) sagittal images showing a prominent structure at the level of fetal nose concordant with lateral nasal proboscis.

 

Images 3, 4: 22 weeks. Gray scale sagittal (image 1) and coronal (image 2) images showing a prominent structure at the level of fetal nose concordant with lateral nasal proboscis.

 

Images 5, 6: 22 weeks. 3D images showing a prominent structure at the level of fetal nose concordant with lateral nasal proboscis.

 

Images 7, 8: 26 weeks. Image 7 shows tangential section through the fetal lips and lower tip of the nose with lateral structure representing proboscis. Image 8 - gray scale image showing a prominent structure with lumen inside at the level of fetal nose.

 

Images 9, 10: 26 weeks. 3D images showing a prominent structure at the level of fetal nose concordant with lateral nasal proboscis.

 

Images 11, 12: 34 weeks. Gray scale axial (image 11) and sagittal (image 12) images showing a prominent structure at the level of fetal nose concordant with lateral nasal proboscis (image 12 shows lumen inside the proboscis).

 

Image 13: Postnatal appearance of the baby with right lateral nasal proboscis.

 

 

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