PMC3375074_01
Antenatal ultrasound scan view showing the foetal abdomen and revealed the presence of a large cystic lesion with multiple thick septation (black arrow) containing fluid and fine echoes (block arrow).
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Intrapartum ultrasound (US) revealed a male fetus, cephalic presentation, had large intra-abdominal cystic mass with echogenic septation, full of hypoechoic debris (Figure 1).
A baby gram X-ray showing a severely distended abdomen with free intraperitoneal air in front of liver (black arrow) and umbilical artery catheter (right striped block arrow) and umbilical vein catheter (left block arrow) in situ. An endotracheal tube (notched block arrow) is noted in situ and both diaphragms are significantly elevated.
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A plain abdominal radiograph (Figure 2) showed significant pneumoperitoneum.
Abdominal CT scan image: showing abundant intraperitoneal space (biheaded block arrow) and fluid levels (black line arrow) with multiple thick septation (right block arrow) noted mainly at the right hypochondrium. Umbilical vein catheter (curved right arrow), spleen (notched right block arrow), stomach (curved left arrow), and liver (striped right block arrow) were noted.
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Abdominal CT (Figure 3) was performed at age of 48 hours and showed free air and large, loculated collection of thick debris at the left side of upper abdomen.