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KMID : 0606620080040030227
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Korean Journal of Fetal Medicine
2008 Volume.4 No. 3 p.227 ~ p.230
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A Case of Fetal Nephropathy, Holoprosencephaly and DORV
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Lee Young-Mi
Park Min-Ah
Ryu Myeong-Hwa
Kang Moon-Sun
Hong Seung-Hwa
Park Yeon-Jin
Ji Il-Woon
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Abstract
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We diagnosed a case of multiple fetal malformations in utero by the ultrasonography. The patient was referred at the 21 weeks of gestation because of oligohydramnios. Both fetal kidneys were hyperechoic suggesting fetal nephropathy. There was a common communication of the right and left ventricular cavity in the frontal lobe of fetal brain. One eye was placed in the middle of the face. The right ventricle of the fetal heart was dilated while the left ventricle was shrunken. Both aorta and pulmonary artery rose from the right ventricle. The pulmonary artery was smaller than aorta. Autopsy was taken after the termination of the pregnancy. Both kidneys are enlarged and revealed to the renal dysplasia under the microscopic examination. The gross findings of the brain and face were consistent with the diagnosis of holoprosencephaly. Double outlet right ventricle (DORV) was confirmed in the heart. It had a non-committed ventricular septal defect (VSD), and pulmonary stenosis. We report this case with the review of the related articles.
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KEYWORD
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Fetal nephropathy, Holoprosencephaly, Double outlet right ventricle
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