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2000-03-31-05 Case of the week #22 © Olavarría www.thefetus.net/

Case #22

March 31-April 14, 2000

Submitted by Sosa Olavarría, A. MD, PhD, Luis Díaz Guerrero, MD, García M.MD, Pereira D. MD, Martines M.MD, Perinatology Unit, Carabobo University, Valencia – Venezuela. UPUC@hotmail.com

As we all know, patients are not always coming “at the right time” and it happens that from time to time the only machine available is not our top of the line machine... or the capture device is not working (my 1/4 million dollar machine just swallowed such a case too !) and we have to use the paper printer... Oh well, sometimes only suboptimal images of great cases are available. That certainly does not decrease the interest of the case, just the "prettiness" factor. This is the case of the current patient, but the diagnosis is well worth learning so Dr. Olavarria kindly provided the postnatal pictures too !

 This 29 weeks baby was scanned because of polyhydramnios. 

This section of the face (vertex to the right) demonstrates the eye and the supraorbital ridge

These are the two feet, not hands:

A cross section through the tibial metaphysis

This is a hand next to the face

A narrow chest:

The newborn

And the mom (the eyes are masked for privacy reasons).

The baby and the mom"s legs

The child"s chest film 

hands...

and feet.

So in this unusual case you have not only the prenatal ultrasound, but the picture of the baby and his mother... 

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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