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