Acardiac fetus in a triplet pregnancy: ultrasound pitfalls. A case report.
This communication aims at illustrating ultrasound diagnostic difficulties in early pregnancy with acardiac fetus. Our case concerns a spontaneously conceived triplet pregnancy. It was diagnosed as a twin pregnancy at 11 weeks of amenorrhea. One and a half months later the patient was referred to our center for spontaneous premature rupture of membranes with the diagnosis of a fetal demise in a triplet pregnancy. The definite diagnosis of acardia was assessed sonographically by the presence of a reverse blood flow through the umbilical cord, reflex movements, limbs anomalies and discordance between femoral and crown-rump length. Two days after admission, the patient developed chorioamnionitis and the three fetuses were expelled.
Abboud
P
P
Department of Obstetrics and Gynecology, Maison Blanche Hospital, University of Reims, France.
Garnier
R
R
Mansour
G
G
Gabriel
R
R
Gaillard
D
D
Quéreux
C
C
D000328:Adult; D002821:Chorioamnionitis / Q000209:etiology; D005188:False Negative Reactions; D005260:Female; D005313:Fetal Death; D005322:Premature Rupture of Fetal Membranes / Q000150:complications; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging*; D006801:Humans; D007752:Obstetric Labor, Premature / Q000209:etiology; D011247:Pregnancy; D014310:Triplets; D016216:Ultrasonography, Prenatal