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Pacient's details
Anomaly: Anencefalie. Hidramnios date: 2010-11-01
Name: Pintea M. Age: 26 Gravida: II Spontaneus conceptionSpontaneus conception
Para: I LMP: 2009-04-10
Pacient job: Salariata                  Maternal chronic disease: -                  Maternal acute disease: -
Enviromental factors: -                  Congenital anomalies in family: -
Previous infants with congenital anomalies: -                  Multiple gestations: -
Prenatal sonography
Diagnosis at 16 GA by TAS Previous Normal Scan Previous Normal Scan
Head and brain
Anencefalie
Face and neck
-
Thorax and heart
-
Abdomen
-
Skeleton
-
Amniotic fluid: Normal Amniotic fluid: Polyhidramnios Amniotic fluid: Oligohidramnios Amniotic fluid:

Fetal surveillance
In data de 23.01.10 pacienta naste un fat mort, de greutate 500 g, cu defecte ale cutiei craniene, cu reminiscenta emisferelor cerebrale, anencefal.

General outcome
Delivery / abortum: spontan
Confirmation of diagnosis:
Anatomopathological confirmation:
Fat de sex feminin, cu lungimea de 45 de cm cu anencefalie. Distanta interoculara de 2 cm, deschiderea fantei palpebrale de 1,8 cm. Tegumente palide. Cianoza subunghiala bilateral la maini. Plamani cu septare incompleta. Petesii pleurale. Plamani condensati, pe sectiune cu aspect lobulat. Proba docimaziei-fragmentele din ambii plamani nu au plutit. Petesii epicardice. Canalul arterial patent. Foramen ovale patent. Intoarcereavenoasa corecta bilateral. Ficat cu arii de culoare galbuie. Vena porta libera. Canale hepatice permeabile. Intestin subtire destins cu continut aeric. Colonul destins, cu continut meconial. Adenopatie mezenterica. Rinichi cu lobatie fetala, cu zone violacee pe suprafata exterioara, in rest parenchimul de culoare rosietica cu rama violacee la nivelul piramidelor Malpighi. Ambii rinichi cu cate 6 piramide.
Neonatal confirmation:
-
GA at delivery / abortum: 40
Fetal condition at delivery / abortum: bad
Outcome: bad

Observations:
-


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