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2007-10-09-15 Answer to the case of the week #212 © Ha To Nguyen www.TheFetus.net


Answer to the case of the week #212

February 14, 2008 - February 28, 2008.

Ha To Nguyen, MD.

Director of Imaging Diagnosis Department, Maternal Tudu Hospital, 284 Cong Quynh St Dist 1, Hochimin City, Vietnam.

 

Case report

A 28-year-old woman was hospitalized due to a tubal extrauterine pregnancy in a regional hospital and a laparoscopic salpingectomy of the affected uterine tube was performed. Four months later she came back because of the abdominal pain. The ultrasonographic examination revealed the extrauterine pregnancy located in the mother"s liver. The fetus was alive and its biometric parameters were concordant with the age of six months of pregnancy. The patient was transferred to the Tudu"s hospital and underwent an operation. The fetus was located under the liver and the placenta invaded the liver. The surgeons removed the fetus and left the placenta in situ. Before finishing the operation a spontaneous placental abruption following by massive hemorrhagia occurred. Despite of the effort of the surgeons the patient died from amniotic fluid embolism.

Images 1, 2: The image 1 shows the measurement of the fetal femur. The fetus was located under the liver and its biometric parameters were consistent with the six months of pregnancy. The image 2 shows a part of the fetus (on the left side of the image), the placenta invading the mother"s liver (in the middle of the image), and the right mother"s kidney (the right side of the image).

 

Images 3, 4: The images show a part of the fetus (left side of the images), the placenta invading the mother’s liver (middle part of the images), and the right mother’s kidney.

 

Images 5, 6: The images show a part of the fetus (left side of the images), the placenta invading the mother’s liver (middle part of the images), and the gall bladder (on the right side of the images).

 

Images 7, 8: The images show a part of the fetus (left side of the images), the placenta invading the mother’s liver (middle part of the images), and the gall bladder (on the right side of the images).

 

 

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