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2018-11-10  Case of the week # 485  © Fabien Ho  www.TheFetus.net

Case of the week # 485
December 6, 2018 - January 3, 2019

Dr Ho Fabien.1, Dr Cuillier F2, Dr Alessandri J-L3

1. Radiology resident, Felix Guyon Hospital, 97400 Saint-Denis, Ile de la Réunion, France. 
2. Department of Gynecology and Obstetrics, Felix Guyon Hospital, 97400 Saint-Denis, Ile de la Réunion, France. 
3. Department of Neonatalogy, Felix Guyon Hospital, 97400 Saint-Denis, Ile de la Réunion, France. 


Case report

A 34-year-old woman was referred to our hospital at 18 weeks of gestation due to abnormal fetal morphological features. She had a past history of gestational diabetes on a previous pregnancy with a male fetus and delivered normally a healthy baby. She is non-consanguineous with her partner and started this new pregnancy.
Down syndrome screening was normal (NT 2,6mm, CRL 60mm ; PAPP-A 1,27 MoM, bHCG 0,74MoM).
She suffered from recurrent vomiting in early pregnancy and lost weight, approx. 10 kgs.
She had to be admitted in hospital for 3 days for electrolytical support.
Our US examination at 19 weeks of pregnancy revealed the following findings:


Images 1-7.


   


Images 7-12.

   

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