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Obstetrics » Obstetrics 2nd And 3rd Trimester
Fetal hydrops
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Author(s) :
Gunjan Puri, MD
 
Presentation A woman presented for routine second trimester antenatal ultrasound
 
 
 
Caption: Coronal and transverse views of fetal thorax
Description: There is evidence of bilateral pleural effusions. The skin is significantly thickened and is best appreciated on the transverse image.
 
 
 
Caption: Transverse image of the fetal abdomen
Description: The subcutaneous tissues are highly edematous. There is also a small amount of ascitic fluid in the abdomen.
 
 
 
Caption: Scan through the fetal abdomen
Description: Along with the thickened subcutaneous tissues, there is hepatomegaly and ascites.
 
 
 
Caption: Serial images demonstrating the placenta, fetal abdomen and the femur
Description: The placenta appears bulky. There is evidence of polyhydramnios. The femur length corresponds to gestational age of 21 weeks.
 
 
 
Caption: Gross photograph of the aborted fetus
Description: There is severe edema of the head and trunk.
 
Differential Diagnosis Fetal hydrops
 
Final Diagnosis Fetal hydrops
 
Follow Up The fetus was aborted. A karyotype analysis could not be performed.
 
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