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2000-08-04-05 Case of the week #31 © Jeanty www.thefetus.net/

Case #31

August 4-18, 2000

Submitted by Philippe Jeanty, MD, PhD, Ghada Mahmoud Mansour, MD*

Nashville TN.and *Cairo, Egypt.

This baby was seen on 3 examinations. The first at 26 weeks one day, then again at 29 weeks 5 days and 36 weeks 5 days. The following images (head, lips and kidneys) were obtained at 26 weeks:

The patient declined an amniocentesis. These are the images at 29 weeks

and finally at 36 weeks, the kidneys

a section through the upper arm and the head.

a representative section of the amniotic fluid

A Doppler examination of the cord

This is the growth curve of the baby

These are some of the growth measurements (the actual gestational age is under the date): 

 

October 7
(26 weeks 1 day)

November 1
(29 weeks 5 days)

December 20
(36 weeks 5 days)

Biparietal
diameter

58 mm = 23 weeks 6 days

69 mm = 27 weeks 4 days

85 mm = 34 weeks 2 days

Abdominal perimeter

191 mm = 23 weeks 6 days

220 mm = 26 weeks 3 days

278 mm = 31 weeks 6 days

Femur length

43 mm = 22 weeks 5 days

51 mm = 27 weeks 1 day    

58 mm = 30 weeks 4 days    

When you have tried to solve the case on your own (no team work here please !) you can find the Answer here.

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