2004-10-12-11 Cytomegalovirus infection © Cuillier www.thefetus.net/
Fabrice Cuillier, MD
The department of Obstetrics and Gynecology, Hôpital Félix Guyon, rue des Topazes, 97400 Saint-Denis, Reunion Island, France. Ph : 0262 90 55 22. Fax : 0262 90 77 30.
The following are the ultrasound images of a fetus infected with cytomegalovirus and scanned at different weeks of gestation. Amniotic fluid serology revealed high CMV titers.
At 19 weeks of gestation:
Coronal view of the abdomen demonstrating dilated loops of small bowel with thickened walls and ascites:
Transverse and sagittal section of the fetal abdomen demonstrating hyperechoic small bowel, liver and ascites:
At 20 weeks of gestation:
Transverse view of the fetal abdomen at the level of the hyperechoic small bowel and ascites [left] and at the level of the liver [right]:
Absent left kidney with a normal right kidney:
At 21 weeks of gestation:
There is IUGR as evidenced from the recorded fetal biometry below:
Sagittal view of the face- edema of the forehead is seen, heralding the beginning of anasarca.
Transverse section of the chest demonstrating cardiomegaly and hydrothorax:
Transverse section of the abdomen demonstrating ascites:
This fetus did not survive.