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2001-04-12-10 Case of the week #48 © Quintero

Case #48

April 13-27,  2001

Submitted by Juan Carlos Quintero Mejia MD, and Philippe Jeanty, MD, PhD

Cali, Colombia and Nashville TN 

This fetus was scanned at 18 weeks and 1 day menstrual age. All the biometry was consistent with 17 weeks days. The patient had no rupture of the membranes.

Biparietal diameter 36.5 mm  16w +2d 
Head perimeter 139 17w+ 1d
Femur 24 17w+ 2d
Humerus 22.4 16w+ 6d
Abdomen perimeter  125.5  

The following images were obtained:



Normal heart


The abdomen, stomach ands kidneys





The limbs

The spine

Placenta and cervix


In view of the findings the patient was counseled, but she declined to not have a karyotype performed. The fetus spontaneously died at 35 weeks.

What is the finding and the anomaly that are represented by the findings ?

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