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2019-10-28  Case of the week # 510  © Fabien Ho

Case of the week # 510
December 5 - January 2
Dr Ho F.1, Dr Cuillier F.2, Dr J-L Michel3

1. Radiologist, private sector, 97400 Saint-Denis, Reunion Island, France. 
2. Department of Obstetrics, Felix Guyon Hospital, Reunion Island, France.
3. Department of Paediatric surgery, Felix Guyon Hospital, 97400 Saint-Denis, Reunion Island, France. 

Case report
This patient had been referred to our hospital after 1st trimester screening for an unsual image. Previous personal, familial and obstetrical history is non relevant. 
Our US examination at 13WG revealed the following anomalies:

Image 1 and video 1.

Upon follow-up, this image disappeared and was nowhere to be seen on 2nd trimester scan.
At the 3rd trimester scan, we noted the following aspect in the pelvis of the female fetus.

Image 2 and video 2.

Therefore we did perform an MRI at 35 weeks of pregnancy.

Images 3-20.

Images 3-5, Axial T1.

Images 6-8, Axial T2.

Images 9-11, Coronal T1.

Images 12-14, Coronal T2.

Images 15-17, Sagital T1.

Images 18-20, Sagital T2.

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