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), C. MONICA (7), A.R. COSTACHE (8), M.M. MANOLEA (1), L. DIJMARESCU (1), N. LILIANA (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:

Early onset fetal growth restriction (EO-FGR) is associated with significant feto-maternal complications, therefore efforts should be made to identify the causes and the potential outcome of the pregnancy. Some of the pitfalls in first-trimester imaging of the fetal anomalies are related to the inadequacy of the examination, because of the fetal position and limited clarity in relation to the size of the structures being examined. In this paper we present a case where careful ultrasound scan follow-up and the use of both approaches transabdominal and transvaginal were useful to complete a detailed structural evaluation as part of the diagnosis, management and prognosis of a fetuses diagnosed with EO-FGR in the first trimester and a triploidy with atypical ultrasound features.


Keywords:
Early onset fetal growth restriction, fetal complications, malformations, genetic anomalies, antenatal counseling



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