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2017-01-15  Case of the week # 439  © Lilit Hovsepyan  www.TheFetus.net

Answer to the case of the week # 439
February 16, 2017 - March 2, 2017.
 
Lilit Hovsepyan, MD.
Erebouni Medical Center, Armenia.
  

Case report

A 25 year old patient (G1P0), without consanguinity, was referred to our unit at 34 weeks of gestational age, in first stage of labor, with regular uterine contractions. Because of position the detailed ultrasound examination of head was impossible. All US examination before were done in another hospital with no any anomalies Our prenatal ultrasound examination and postnatal exams, confirmed the diagnosis of Sturge-Weber disease with angyomatosis of the umbilical cord.

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Images 1-7:
2D and color Doppler images show mixomatous edema of the umbilical cord. Doppler evaluation was normal but we couldn´t examine the fetal head due to fetal presentation.

 
 
 
 



Images 8-11:
pathology images confirmed umbilical cord angyomatosis and a large hemangIoma of the left fetal face and thorax.

    



Images 12-14:
postnatal T2 brain MR images showing frontal lobes atrophy, more in the left side, with distortion of the shape of the ventricles and enlarged subarachnoid spaces. These findings are usually seen in Sturge-Weber disease. 

  



Videos 1-6:
following videos show angiomatosis of the umbilical cord and Doppler fetal evaluation.

   
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