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2002-11-20-15 Case of the week # 94 © Sepulveda

Case of the week # 94

April 25-May 8, 2003

Waldo Sepulveda, MD and  Sebastian Illanes, MD

Centre for Fetal Care, Institute of Reproductive and Developmental Biology, Division of Paediatrics, Ob-Gyn, Imperial College, Queen Charlotte"s & Chelsea Hospital, Hammersmith Campus, Du Cane Road, London W12 0NN, UK and   
Department of Obstetrics and Gynecology, Hospital Parroquial, Universidad Los Andes, San Bernardo

29-year-old primigravida was referred at 30 weeks’ gestation for an ultrasonographic examination to evaluate fetal growth after a positive screening for gestational diabetes. Her previous medical history was non contributory and a first trimester scan performed because of uncertain dates revealed a biometry consistent with 14 week fetus with the following images.

A local scan previous to the referral at 28 weeks revealed suboptimal fetal growth but normal amniotic fluid volume. At referral, the fetal growth was below the 10th centile, normal Doppler and normal amniotic fluid volume. There was no nuchal thickening, and the four-chamber view was reported as normal. The following images were obtained:

The limbs:

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