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2008-09-23-10 Case of the week #232 © Cuillier

Case of the week #232

November 20 - December 4, 2008

Fabrice Cuillier, MD*; J. Bideault, MD**; D. Daguindeau, MD**.

*   Department of Gynecology, Felix Guyon Hospital, 97400 Saint- Denis, Ile de la Reunion, France; tel.: 0262 90 55 22; fax: 0262 90 77 30;
**  Department of Gynecology, Hôpital intercommunal, 97400 Saint-Benois, Ile de la Réunion, France.

Case report

A 25-year-old woman, with a non-contributive history, presented to our unit at 31st week of pregnancy. Her previous sonography performed at 22 weeks was reported to be normal. Our ultrasound revealed an abdominal structure showed on the images below. No signs of aneuploidy were found. The parents refused amniocentesis and the neonate was delivered at 37 weeks. Postnatal sonography found an ascites in the neonate originating from the ruptured structure described above. The next day, the amount of intraperitoneal fluid had regressed.

One month later the clinical examination of the baby was normal, but six weeks later the structure appeared again and the baby presented with signs of an acute abdomen requiring a surgical intervention. The final diagnosis was a bit different from that we presumed. 

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