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2009-03-23-09 Case to the case of the week #243 © Gonzales www.thefetus.net/


Case of the week #243

May 7, 2009 - May 21, 2009

Andrea L. Gonzales, RDMS; Luis A. Izquierdo-Encarnacion, MD, RDMS, RDCS; Samantha Long.

Regional Obstetric Consultants, 836 Prudential Drive, Suite 1800, Jacksonville, FL 32207, USA.

 

Case report

A 30 year old gravida 6, para 1, was referred to our clinic for consultation at 11 3/7 weeks gestation for a history of four spontaneous abortions and compound heterozygous state for methylenetetrahydrofolate reductase (MTHFR). There were no other known medical problems. Following the initial consultation, the patient was evaluated in our office every four weeks to monitor fetal anatomy, growth and development. Sonographically unremarkable examinations were performed every four weeks from 11 3/7 weeks of gestation to 30 4/7 weeks.

At 34 4/7 weeks, the patient was found to have polyhydramnios (AFI 30.7 cm). Additionally, the fetus was noted to have the following neck findings:

Images 1, 2:

 

Image 3

 

Video 1

 

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