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 2006-12-28-14 Polydactyly, postaxial © Cuillier www.thefetus.net/

Polydactyly, postaxial  

Fabrice Cuillier, MD 

*

Gynecologist, Hôpital Félix Guyon, 97400  Saint-Denis, Ile de la Réunion, France. Telephone: 0262 90 55 22; fax: 0262 90 77 30.

Case report

We present a case of a 35-year-old woman (G1P0) with unremarkable history. The first-trimester sonogram and triple test were normal. Ultrasound examination at the 22nd week of pregnancy revealed no pathology. At 32nd week of pregnancy we found idiopathic polyhydramnios. Soonographic examination at 32 weeks of pregnancy revealed:

  • Left hand polydactyly;

  • Bilateral pyelectasia (10 mm);

  • Polyhydramnios with a normal stomach;

  • Lingual protrusion.

The fetal karyotype was normal (46, XX). The baby was delivered by cesarean section at the 38th week of pregnancy due to preeclampsia. The weight of the baby was 2800 g. Postnatal examination confirmed left hand polydactyly with no other anomalies.

Figures 1, 2. 2D coronal sonography of the kidney and sagittal plane of the head showing lingual protrusion at 32 weeks. 

 

Figures 3, 4, 5, 6, 7, and 8. 2D scans showing postaxial polydactyly of the left hand.

  

  

 

Figures 9. Postnatal appearance of the left hand.


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