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2013-01-15-09 Case of the week #346 © Bronshtein 

Case of the week #346

June 06, 2013 - June 20, 2013 

Moshe Bronshtein, MD*; Inna Naroditsky, MD*; Yaniv Zohar, MD*; Frantisek Grochal; MD**.

*   Haifa, Israel; 
** Femicare, s.r.o., Center of prenatal ultrasonographic diagnostics, Martin, Slovak republic.

Case report

This was a low risk pregnancy that we had seen at 15 and 19 weeks of pregnancy. Biochemical screening at 17 weeks found high levels of maternal serum alpha-fetoprotein (MS-AFP) - 2.5 MoM; and free beta-subunit of human chorionic gonadotropin (free beta-hCG) HCG - 23 MoM. At 19 weeks the beta-hCG levels reached 350000 mIU/ml and the fetal biometry was behind expected parameters (HC corresponded to 17 weeks, AC and FL corresponded to 16 weeks). Absent diastolic flow within the umbilical arteries was also observed.

Here are some images and videos that we obtained.

Image 1: 15 weeks of pregnancy.

Images 2, 3, 4, 5, and videos 1, 2, 3: 19 weeks of pregnancy. 




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