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Re: Fetal volvulus? From: Terry J DuBose (tjdubose@juno.com) Sat Jan 5 18:18:07 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: vsouter@yahoo.com: "Re: APCK" Previous message: zalel: "Re: Fetal volvulus?" Maybe in reply to: BUCHHAVE PER: "Fetal volvulus?" Next in thread: Daniel Margulies: "Re: Fetal volvulus?" Agreed, urinary tract is very possible source. It is easier to give differentials if you can post a few good, representative images. At first I thought urachal cyst, but the later information doesn't fit that. Unless there were a bladder outlet obstruction with a coincidental urachal cyst. The kidneys are just becoming fully functional at 16 weeks... between the 1st & 2nd exam urinary pressures would have increased rapidly. Oligohydro would fit urinary obstruction. Could be a urinoma. A set of serial images would be great. Thanks, Terry J DuBose -------------------------------------------------- On Sat, 5 Jan 2002 17:13:14 -0600 zalel <zalel_y@netvision.net.il> -------------------------------------------------- writes: -- -------------------------------------------------- > How were the kidneys and ureters? This could be an urinoma! > What is the gender of the fetus? > > An interesting case > > Yaron Zalel, MD >> ----- Original Message ----- > From: BUCHHAVE PER > To: Multiple recipients of list ULTRASOUND > Sent: Saturday, January 05, 2002 8:25 PM > Subject: Fetal volvulus? > > Hello! > > Have got a patient with infertility problems, who got pregnant > spontaneusly. At her first ultrasound at 16 compl.weeks the baby > had a cyst intraabdominally in front and over the fetal bladder with > size about the size of the bladder. The cyst had som minor dense > content, but was otherwise sonolucent. 3 weeks later there were > several cysts with the same character, but I got the feeling that it > was dilated intestines with content and quite heavy peristaltic. > There were a tendency towards oligohydramnios, but else the fetus > seemed ok. > > 2 weeks later this picture had changed totally. The cysts had > barely disappeared, a moderat amount of ascites had come instead > and the oligohydramnios remained. > > 2 weeks later (week 25) the baby is still alive, but the ascites > is enormeous. Oligohydramnios is the same and blood flow in the > umbilical cord is normal. > > My guess is that it is a volvulus with rupture of the intestines, > but I am surprised, that the fetus has survived so long time. > > Is there any other diff.diagnosis and possible treatment option? > > Per K. Buchhave > > Sen.consultant, Karlskrona, Sweden > Next message: vsouter@yahoo.com: "Re: APCK" Previous message: zalel: "Re: Fetal volvulus?" Maybe in reply to: BUCHHAVE PER: "Fetal volvulus?" Next in thread: Daniel Margulies: "Re: Fetal volvulus?"

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