PMC3432329_01
(a) Axial plane of the fetal abdomen on 2DUS, showing ascites and hepatomegaly. (b) Axial plane of the fetal thorax on 2DUS at the level of the four chambers of the heart, showing pericardial effusion (white arrows). (c) Sagittal plane of the fetal cranium on 2DUS, showing hyperechogenicity of the cerebral parenchyma. (d) Three-dimensional image in rendering mode, showing twisting and absence of some toes.
CRIM.ID2012-478436.001.jpg
PMC3432329_01_CRIM.ID2012-478436.001.jpg
fig1
In the 31st week of pregnancy, when the woman was referred to UNIFESP's high-risk prenatal service, ultrasonography was performed again and the following fetal abnormalities were detected: voluminous ascites, splenomegaly, pericardial effusion, twisting of the toes, and hyperechogenicity of the cerebral parenchyma (Figures 1(a), 1(b), and 1(c)). The 3D imaging in rendering mode enabled clear assessment of the fetal limbs, especially the feet, which appeared twisted and lacked of some toes (Figure 1(d)).