Case of the Week # 124

François Jacquemard*, MD, Danièle Pariente**, MD, Hélène Martelli, MD, Luc Gourand*, MD

July 29-August 12, 2004

*Institut de Puériculture et de Périnatalogie de Paris; **Radiologie pédiatrique, Bicêtre; ***Chirurgie pédiatrique, Bicêtre

This fetus was first scanned at 12 week. There was an unconfirmed suspicion of gastrointestinal obstruction

The patient was rescanned at 18, 25 and 28 weeks. A right-sided pelvic mass with fluid was identified. No evidence of obstruction. The rest of the examination is normal.

At 30 weeks the image is no longer identified !

At 32 weeks the image is again observed. The mass is 21 by 30 by 51 mm and had thick walls and appears to have peristalsis.

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I incorrectly labelled the © for the following images. They were done by Dr. Pariente. I apologize for this error (PJ)

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Answer

This fetus was first scanned at 12 week. There was an unconfirmed suspicion of gastrointestinal obstruction

The patient was rescanned at 18, 25 and 28 weeks. A right-sided pelvic mass with fluid was identified. No evidence of obstruction. The rest of the examination is normal.

At 30 weeks the image is no longer identified !

At 32 weeks the image is again observed. The mass is 21 by 30 by 51 mm and had thick walls and appears to have peristalsis.


case0124-1
case0124-3

I incorrectly labelled the © for the following images. They were done by Dr. Pariente. I apologize for this error (PJ)

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The baby was born at 35 weeks (3115 g), passed meconium but presented with a distended abdomen.

The postnatal x-rays suggested a giant Meckel's diverticulum and this was confirmed at surgery. The post-op care was uneventful and the child was discharged on day 9.

I incorrectly labelled the © for the following images. They were done by Dr. Pariente. I apologize for this error (PJ)

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I incorrectly labelled the © for the following images. They were done by Dr. Martelli. I apologize for this error (PJ)

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