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2004-10-12-11 Cytomegalovirus infection © Cuillier www.thefetus.net/

Cytomegalovirus infection

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:

Bilateral ventriculomegaly:

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.

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