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Cavum Septa Pellucida

•Ventriculomegaly

•Posterior fossa cyst

•Cerebellar vermis defect

•Associated defects

Maternal-Fetal Medicine

UKSM-Wichita

•Anomalies of thelymphatic system

•Multiple septa

•Associated with congenital &karyotypic anomalies

•1-2% in normal population

•Association withtrisomy 18

•Amnio/cfDNA: considermaternal age, quadscreen, if associateddefects

•R/O 50% ofheart defects

•Fetal echo inhigh-riskpopulation


•Fetal echo

•Discuss amnio

•Genetics consult

•Associated anomalies


UKSM-Wichita

Ventricular Outflow Tracts


University of Kansas School of Medicine-Wichita

Maternal-Fetal MedicineUniversity of Kansas School of Medicine-Wichita


•Hamartoma of lung

•Primarily unilateral

•Microcystic: poorerprognosis

•No association withother defects


UKSM-Wichita

•Polyhydramnios

•Failure to visualize stomach: 10%

•Associated congenital& karyotypic anomalies


UKSM-Wichita

•Associated with:

•anomalies

•Trisomy 21 in 30%

•polyhydramnios

•FGR

Maternal-Fetal MedicineUniversity of Kansas School of Medicine-Wichita

•Etiology: vascular insultor ischemic event

•Site: proximal jejunum &

distal ileum

•Congenital & karyotypicanomalies: rare

•Exception:

Meconium ileus

•Demonstrated after16 wks. GA

•AP diameter of pelvisrarely >7 mm.

•Pyramids positive identification of kidney


UKSM-Wichita

Urinary Tract Dilation (UTD)

<28 weeks GA

Renal pelvis > 4 mm

LR for trisomy 21: 1.5

f/u at 32 weeks GA

Urinary Tract Dilation

> 28 weeks GA

> 7 mm

Neonatal f/u

is warranted

Posterior Urethral Valves

•Only in males

•Keyhole sign

•Hydroureter

•Urinary tract dilation

•Mortality 25-50%

•If oligo, mortality >90%

•Vesicoamniotic shunt

•Caliectasis: Cystscommunicate withrenal pelvis

•Associated anomalies

more frequent withmulticystic kidneys


UKSM-Wichita

Associated with:

•anomalies

•FGR

•prematurity

•karyotypic anomalies


UKSM-Wichita

•Most defectsexcluded withdemonstrationof intact cordinsertion


UKSM-Wichita

•Findings

•Management:

•offer karytype evaluation

•associated anomalies

•fetal echo



•Findings:•elevated MSAFP

•herniated bowel

•Incidence:

•4.5/10,000 births



•Associated with:

GI malformations

FGR

•Management



•if abnormal, comprehensiveexam to determinelength of otherlong bones



•Mineralization

•Fractures

•Bowing

•Thoracic dimensions

•Evaluation of handsand feet


Associated anomalies?

Normal screening?

Family history?


UKSM-Wichita

Clubfoot•Associated anomalies

•Can be isolated

•Make dx cautiously!!

Rockerbottom Feet

•Prominent heel

•Associated withtrisomy 18

Pink or Blue



powerpoint presentation sono tal… · •if oligo, mortality >90% ... powerpoint presentation...

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