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Fetal Hydrops & Heart Failure || Ultrasound || Anomaly || Case 293
Clinical Features:
A 21-years-old female patient came with 6 months of amenorrhoea
Ultrasound Features:
- 23-24 week sized single live intrauterine pregnancy
- Generalized skin edema
- Bilateral gross pleural effusion with compressed lungs & flattened domes of diaphragm
- Cardiomegaly, enlarged right atrium, thickened ventricular walls with irregularly irregular heart beats & gross bradycardia
- Distended abdomen with ascites
- Hepatomegaly
- Thick-walled gallbladder
- Polyhydramnios
Remember:
In case of hydrops, if you see hepatosplenomegaly, then it's also a feature of fetal anemia. The heart failure in that situation may or may not be due to anemic cause.
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