Curr Health Sci J, vol. 45, no. 3, 2019

Importance of Follow-Up and Early Detailed Evaluation in Early Onset Growth Restricted Fetuses

[Case Report]

M. MIESCU (1,3), O. CARBUNARU (2), C. CONSTANTIN (1,3), M. NOVAC (1,5), R. CIUREA (1,6), A.M. ALKHATIB (1,6), M. CARA (7), A.R. COSTACHE (8), M.M. MANOLEA (1), L. DIJMARESCU (1), L. NOVAC (1), D. ILIESCU (1,3)

1) Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova 2) Department of Obstetrics and Gynecology, Emergency County Hospital Ramnicu Valcea 3) Department of Obstetrics and Gynecology, Emergency University County Hospital Craiova 4) Department of Radiology and Imaging, University of Medicine and Pharmacy of Craiova 5) Department of Anesthesiology and Intensive Care, University of Medicineand Pharmacy of Craiova 6) Department of Pathology, University of Medicine and Pharmacy of Craiova 7) Department of Public Health, University of Medicine and Pharmacy of Craiova 8) Human Genomics Laboratory, University of Medicine and Pharmacy of Craiova


Abstract:

Earlyonsetfetalgrowthrestriction(EO-FGR)isassociatedwithsignificantfeto-maternalcomplications,thereforeeffortsshouldbemadetoidentifythecausesandthepotentialoutcomeofthepregnancy.Someofthepitfallsinfirst-trimesterimagingofthefetalanomaliesarerelatedtotheinadequacyoftheexamination,becauseofthefetalpositionandlimitedclarityinrelationtothesizeofthestructuresbeingexamined.Inthispaperwepresentacasewherecarefulultrasoundscanfollow-upandtheuseofbothapproachestransabdominalandtransvaginalwereusefultocompleteadetailedstructuralevaluationaspartofthediagnosis,managementandprognosisofafetusesdiagnosedwithEO-FGRinthefirsttrimesterandatriploidywithatypicalultrasoundfeatures.


Keywords:
Earlyonsetfetalgrowthrestriction,fetalcomplications,malformations,geneticanomalies,antenatalcounseling



Corresponding:
Marius Novac, University of Medicine and Pharmacy Craiova, Department of Obstetrics and Gynecology, Petru Rares, nr. 2, Craiova, Romania, e-mail:mariusnovac2005@yahoo.com


DOI 10.12865/CHSJ.45.03.14 - Download PDF