PMC5124728_01
(A) Right ureteral dilatation. (B) Doppler renal arteries.
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F1
The exam revealed an anechoic structure appearing like a possible right ureteral dilatation (Figure 1A). Both renal arteries seemed to be present with the Doppler evaluation (Figure 1B).
Postaxial bilateral hexadactyly.
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F2
The patient presented for premature rupture of membrane at 32 weekends and 4 days' gestation and delivered 2 weeks later a male fetus of 1578 g with the following features at necropsy: facial anomalies with hypotelorism, wide nasal bridge, low set right ear and microcephaly, and limb manifestations with postaxial bilateral hexadactyly without bone component (Figure 2).
Penile hypoplasia and perineoscrotal hypospadias.
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F3
About urogenital anomalies, left renal agenesis and perineoscrotal hypospadias with penile hypoplasia (Figure 3) with descended testes were found.
(A) Malposition of the aortic orifice and s shape of the ascending aorta without transposition of great vessels. (B) Two punctate interventricular communications.
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F4
Concerning the cardiovascular and respiratory system, the exam revealed pneumothorax with subglottic perforation and tracheal stenosis, parathyroid aplasia, heart defect with "s shape" of ascending aorta without transposition (Figure 4A), and two punctate interventricular communications, one muscular and the other one, sub-arterial (Figure 4B).