STRUCTURAL ABNORMALITIES DETECTED AT 11 TO 14 WEEKS

NUCHAL TRANSLUCENCY SCAN

DR GEETA SHAHDR KETKI PHADKE

SCREENING IN THE LATE 1ST TRIMESTER (11-13 WEEKS)

Advantages:•Earlier diagnosis.•Pregnancy less obvious, more private.•May be less bonding.•Pregnancy termination easier and safer.

We are presenting some of the cases seen at our center during nuchal translucency scan(11 to 13 weeks) over last two years.

CYSTIC HYGROMA WITH ABNORMAL FLOW IN DUCTUS VENOSUS

ACRANIA WITH ABSENT NASAL BONE SEEN AT 13 WEEKS

TRANSVAGINAL EXAMINATION SHOWING ABSENT CRANIAL VAULT AND NASAL BONE

NEURAL TUBE DEFECTS IN A 45 YEAR OLD PRIMIGRAVIDA

DICHORIONIC-DIAMNIOTIC TWIN PREGNANCY AT 11 WKS – ONE OF THE TWINS SHOWING ENCEPHALOCELE

ALOBAR HOLOPROSENCEPHALY AT 13 WEEKS

OMPHALOCOELE AT 14 WKS

KYPHOSCOLIOSIS AT 14 WEEKS

A RARE CASE OF SIRENOMELIA ALSO KNOWN AS MERMAID’S SYNDROME AT 12 WEEKS

POST TERMINATION IMAGES OF FETUS HAVING SIRENOMELIA

MEGACYSTIS : OVERDISTENDED URINARY BLADDER WITH FULLNESS IN BOTH THE KIDNEYS SEEN AT 12 WEEKS

MEGACYSTIS RESOLVED SPONTANEOUSLY AT 15 WEEKS. PERSISTENT FULLNESS WAS SEEN IN BOTH THE KIDNEYS TILL

TERM. POSTNATALLY THE BABY WAS DIAGNOSED WITH POSTERIOR URETHRAL VALVES

TAKE HOME MESSAGE

We recommend that a detailed transvaginal examination including 3D/4D scan should be done along with nuchal scan to detect other abnormalities as well.Some of the other abnormalities which can be detected this period are cleft lip/palate, hypoplastic left heart, AVSD.

THANK YOU