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2008-06-22-06 Answer to the case of the week #224 © Ha www.TheFetus.net


Answer to the case of the week #224

July 31, 2008 - August 13, 2008

Ha To Nguyen, MD*; Philippe Jeanty, MD, PhD**.

*  Director of Imaging Diagnosis Department, Maternal Tudu Hospital, 284 Cong Quynh St Dist 1, Hochimin City, Vietnam;
** Inner Vision Woman’s Ultrasound, 2201 Murphy Avenue, Suite 203, Nashville, TN 3720, USA.

Case report

Following images show a case of trisomy 18 demonstrating with a few typical signs.

Images 1, 2: Image 1 shows sagittal scan of the fetal head with slightly prominent occiput. Image 2 shows a four-chamber view of the heart with atrioventricular septal defect.

 

Images 3, 4: Images 3 shows a four-chamber view of the heart with atrioventricular septal defect. Image 4 shows a 3-vessel view of the heart with the right-sided aortic arch. Note the trachea, between the pulmonary artery and the aortic arch.

 

Images 5, 6: Images show clenched hand (overlapping of the third finger by the second and of the fourth by the fifth) of the fetus and polyhydramnios.

 

Images 7, 8: The images show a multicystic kidney.

Images 9, 10: Image 9 and Image 10 show the multicystic kidney. The stomach is compressed by the kidney (resulting in the polyhydramnios)

  

Images 11, 12: Note the surface of the fetus with hypertrichosis.

 

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