Femoral hypoplasia, unilateral

Fabrice Cuillier, MD*; L. Lagarde, MD**, A. Bertha***

* Department of Gynecology, FĂ©lix Guyon’Hospital, 97400 Saint-Denis, Ile de la RĂ©union, France;
** Department of Gynecology, Gabriel Martin Hospital, 97400 Saint-Paul, RĂ©union Island, France;
*** Student, Arizona State University. University Drive and Mill Avenue Tempe, Arizona 85281.

Case report

A 32-year-old diabetic woman (weighing 100 kg), G1P0, was referred to our department at 32 weeks of pregnancy. The course of the pregnancy was uneventful and the patient didn"t have any maternal infectious diseases. Her first ultrasound examination at 12 weeks was normal, and the nuchal translucency was in normal range. At 24 weeks the ultrasound examination revealed a normal fetal biometry, but polyhydramnios was found. The fetal facial profile was normal.

At 32 weeks we found a significant difference between the length of the fetal femurs and postnatal X-ray confirmed the finding. The final diagnosis was unilateral proximal femoral focal deficiency.

Images 1, 2: The images show the difference between the lengths of the fetal femurs.

1B
2A

Image 3: The fetal profile was normal (no micrognathia).

1A

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