Case of the Week # 238

Nguyen Ha Francois Manson

February 19, 2009 - March 5, 2009

Nguyen Ha, MD*; Francois Manson, MD**.

*  Director of Imaging Diagnosis Department, Maternal Tudu Hospital, 284 Cong Quynh St Dist 1, Hochimin City, Vietnam;
** Fécamp, France.

Case report

The following images show a combination of two identical cases of the same fetal anomaly diagnosed in our department.

Images 1, 2:

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Images 3, 4:

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Images 5, 6:

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Images 7, 8

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Images 9, 10:

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Images 11, 12:

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Images 13, 14, 15, and 16:

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Answer

Case report

The following images show an example of Roberts syndrome. The images represent a combination of two cases of the Roberts syndrome diagnosed in our department.

Images 1, 2: The images show flat fetal profile with micrognathia and retrognathia.

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Images 3, 4: The image 3 shows normal fetal head circumference with normal intracranial architecture and femur shortening. The image 4 shows fetal phocomelia.

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Images 5, 6: The images show fetal phocomelia.

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Images 7, 8: The image 7 shows transverse scan at the level of the fetal eye with slight hypertelorism. The image 8 shows fetal foot with "sandal gap".

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Images 9, 10: The image 9 shows a four-chamber view of the fetal heart with atrioventricular septal defect. The image 10 represents 3D scan o the fetal face, showing micrognathia and retrognathia. Note that no cleft lip was present.

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Images 11, 12: The image 11 represents 3D scan o the fetal face, showing micrognathia and retrognathia. The image 12 shows 3D scan of the upper fetal extremity with phocomelia.

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Images 13, 14, 15, and 16: Postmortem images of the neonates affected by Roberts syndrome.

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