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2016-06-05-10 Answer to the case of the week # 428 © Manohar www.TheFetus.net


Answer to the case of the week # 428
September 1, 2016 - September 15, 2016.

Sivasamy ManoharMD, DMRD

Madurai, India


Case report

Following images show a case of Apert syndrome that was seen in our office at 26 weeks of pregnancy. The parents opted for the termination of the pregnancy. Postnatal findings confirmed the diagnosis of Apert syndrome.

The fetus showed frontal bossing, depressed nasal bridge and turricephaly (signs of craniosynostosis), polysyndactyly (mitten hands) with hitchhiker thumb, and prominent medially deviated big toes. Long bones and growth of the fetus were normal. 

Images 1-5: Fetal head with frontal bossing, depressed nasal bridge and turricephaly (signs of craniosynostosis).

 

 



Images 6-7: Normal long bones (humerus - HL, femur - FL).

 

Images 8-13Polysyndactyly (mitten hands) with hitchhiker thumb, and prominent medially deviated big toes.

 


 

 

Images 14-21: 3D images of fetal hands and feet - polysyndactyly (mitten hands) with hitchhiker thumb, and prominent medially deviated big toes (images 14-20); and 3D image of fetal face (image 21) with frontal bossing, depressed nasal bridge and slightly bulging eyes.

 

 

 

 

Image 22: Fetal biometry.



Images 23-28: Postabortal images of the fetus with Apert syndrome.

 

 

 



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