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Case of the Week # 327

Marcos Antonio Velasco Sanchez, MD, Andres Zurita Zurita, MD,Jose Angel Samano Cortazar, MD, Jose Luis Abarca,MD, Alejandra Toledo, MD, Yuridia Abarca, MD

September 13th, 2012 - September 27th, 2012

Centro de Estudios  e Investigacion  en Ultrasonido  General del Estado de Guerrero,Mexico. 

Case report:

A 28-year-old ( G3P2) patient was referred to our center at 20 weeks for the intrauterine growth restriction and oligohydramnios. The history was unremarkable.

Here are the images:

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Video:

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Answer

Case report:

A 28-year-old (G3P2) patient was referred to our center at 20 weeks for the intrauterine growth restriction and oligohydramnios. The history was unremarkable.

The diagnosis were: Cloacal dysgenesis associated with holoprosencephaly, cephalocele, cleft lip and palate.

Ultrasound findings:

  • Left hydronephrosis, a cystic appearance of the right kidney, hydroureters
  • Oligohydramnios
  • Cloacal dysgenesis with vesico-rectal fistula 
  • Cleft lip and palate 
  • Cephalocele, holoprosencephaly

Here are the images:

Image 1-3: Showing abnormal posterior fossa and structural anomaly of the brain.

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Image 4-10: Showing a hypoechogenic mass at the lower abdomen, hydroureters left hydronephrosis, right polycystic kidney.

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Image 11-14: Postmorterm findings

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Video clip:

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