Case of the Week | Posterior Uretheral Valves

Case of the Week - 3/19/10

by Administrator 19. March 2010 13:32

HISTORY: 27 y.o. G6 P1132 (SAB 3) at 13 weeks referred for a cyst in the fetal abdomen.

Here are some of the images obtained:

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OB | Posterior Uretheral Valves

Case of the Week - 12/04/09

by Administrator 4. December 2009 10:16

This is a 27 yr old G2P1 at 20 5/7 weeks. She was referred for evaluation because of a second trimester ‘quad’ screen which identified an increased risk for open neural tube defects. The results of the ‘quad’ screen are as follows:

Down syndrome risk 1:1121
Trisomy 1:3473
ONTD 1:10


The individual analyte levels are:

AFP8 8.73 MOM
Hcg 4.26 MOM
DIA 2.95 MOM
uE3  0.58 MOM


Selected images from the 20 week ultrasound are given below. Overall fetal biometry was appropriate for gestational age with an AUA of 20 wks 1 day.

In addition to ultrasound, amniocentesis was performed. Fluid results include:

AFAFP 4.00 MOM
AChE negative
Fetal karyotype 46 XX


Further testing performed on the fluid will be discussed when the answer is revealed next week. Good luck

 

Here are some of the images obtained:

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Case of the Week - 11/20/09 #1

by Administrator 20. November 2009 09:50

Images at 18 Weeks:

Images at 26 Weeks:

Before deciding the answer, please review images from the next exams on this patient which I intentionally withheld:

30 weeks: 32 weeks:
35 weeks:36 weeks:
Now with oligohydramnios, AFI of 7 which decreased to 5.8 by 36 weeks 6 days, when the fetus was delivered

 

 

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The goal of Fetal & Women's Center of Arizona is to provide the best possible service, using the best equipment and technology available, performed by highly skilled sonographers and interpreted by leading physicians in their field.  Case of the week is used for educational training purposes only.