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Re: Fetal Liver.....Echogenic Portal TriadFrom: DuBose, Terry (DuboseTerryJ@uams.edu)Thu Jul 5 14:05:39 2001
There are a number of fetal infections that cause visceromegaly, enlargement of the liver and spleen. These are often called the TORCH infections (TOxoplasmosis, Rubella, Cytomegalovirus, & Herpes). Some have suggested the acronym STARCHS to include Syphilis and the opportunistic infections associated with AIDS. These fetuses may also exhibit varying degrees of bowel calcifications, microcephaly with brain calcifications. But all fetuses do not show all of these signs. How were the measurements... Head/Abdomen Circumference Ratios? Too bad there are no images... that might help. Good luck. PS, because this Forum is for professionals, it is always nice and interesting to know to whom we are messaging and where in the world you are. Peace, Terry J. DuBose, M.S., RDMS, APS Chair, Ultrasound Section OBGYN.net Assistant Professor & Director, Diagnostic Medical Sonography Program CHRP, University of Arkansas for Medical Sciences Little Rock, Arkansas, USA 501-686-6510 http://www.io.com/~dubose/ http://www.uams.edu/CHRP/dmshome.htm http://www.obgyn.net/us/panel/panel.htm -----Original Message----- From: kpnb@voyager.net [mailto:kpnb@voyager.net] Sent: Thursday, July 05, 2001 1:16 PM To: Multiple recipients of list ULTRASOUND Subject: Fetal Liver.....Echogenic Portal Triad This is a twin pregnancy, scanned for the first time at 31w2d. The liver of Fetus A was hypoechoic, with echogenic portal triads throughout the entire liver. Liver size and location was appropriate. This was the only unusual finding for that fetus. Fetus B appeared completely normal. I wasn't able to determine chorionicity, but there is a membrane between them. Both fetuses are female. I don't have an image for you. But it looked just like the liver of an adult with hepatitis. Any ideas?
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