Clinical Features:
A 21-years-old female patient came with 6 months of amenorrhoea
Ultrasound Features:
- 23-24 week sized single live intrauterine pregnancy
- Generalized skin edema
- Bilateral gross pleural effusion with compressed lungs & flattened domes of diaphragm
- Cardiomegaly, enlarged right atrium, thickened ventricular walls with irregularly irregular heart beats & gross bradycardia
- Distended abdomen with ascites
- Hepatomegaly
- Thick-walled gallbladder
- Polyhydramnios
Ultrasound Diagnosis:
Fetal hydrops & heart failure
Remember:
In case of hydrops, if you see hepatosplenomegaly, then it's also a feature of fetal anemia. The heart failure in that situation may or may not be due to anemic cause.
YouTube Link:
YouTube
Ultrasound Images:
Scalp edema
Distended abdomen with ascites
Fetal ascites & polyhydramnios
Fetal ascites, bilateral pleural effusion, skin edema
Fetal ascites, bilateral pleural effusion, compressed lungs, distended abdomen, skin edema, hepatomegaly, thickened gallbladder wall
Fetal ascites, bilateral pleural effusion, compressed lungs, distended abdomen, skin edema
Fetal ascites, dilated hepatic veins, skin edema
Polyhydramnios
Irregularly irregular heart beats
Cardiomegaly, enlarged right atrium, bilateral pleural effusion
Bradycardia with irregularly irregular heart beats
Swollen puffy edematous fetal face in coronal section
0 comments:
Post a Comment