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2011-11-24-16 Trisomy 21 © Patel www.TheFetus.net

Trisomy 21

Suresh Patel, MD

India


Case report


A 21-year-old woman (G1P0) underwent ultrasonographic examination at 19 weeks 4 days of gestational age and following findings were noticed:
  • thickened nuchal fold of the fetus;
  • hypoplastic nasal bone;
  • hyperechoic bowels;
  • shortened long bones (humerus, femur);
  • atrioventricular septal defect was suspected.
Amniocentesis was done and confirmed trisomy 21 (Down syndrome). Here are some images that weobtained.

Images 1, 2:  19 weeks 4 days gestational age; the images show thickened nuchal fold of the fetus.

 

Images 3, 4:19 weeks 4 days gestational age; the images show hypoplastic nasal bone of the fetus.

 

mages 5, 6:19 weeks 4 days gestational age; the images show hyperechoic bowels (Image 5) and short humerus (Image 6; the humerus corresponded just to 18 weeks + 1 day gestational age) of the fetus.

 

Image7:19 weeks 4 days gestational age; atrioventricular septal defect was suspected (red flow via ventricular septal defect).


 
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