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2012-07-12-14 Case of the week # 330 ©Elena Andreeva 

Case of the weeks # 330

October 26th, 2012  - November  9th, 2012

Elena Andreeva, MD; Natalia Odegova, MD
Moscow regions Research Institute of Obstetrics and Gynecology, Medical-Genetics Department, Moscow, Russia.

Case report:

A 21-year-old woman (G1) with non-contributive history was referred to our office at 23 weeks of gestational age.

Our examination revealed enlarged homogeneous hyperechoic lungs with medial shift of the heart, dilated bronchial tree, and massive ascites. Diagnosis of laryngeal  atresia was determined. The parents opted for the termination of the pregnancy and the diagnosis was confirmed consequently.

Here are the images:

Images 1, 2, 3: The images show longitudinal scans of the fetal thorax with the dilated trachea and bronchi due to laryngeal atresia. The lungs appear hyperechoic. The images 2,3  also shows ascites of the fetus. 

Images 4, 5:
Power Doppler showing sagittal scan of the fetal neck and chest, with the neck vessels passing by the dilated trachea. 

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