Goubaa Mohamed MD Djerba Tunisia

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--- Arabic
This is an 29-year-old female scanned at 37 menstrual weeks. This is a third trimester fetus being examined because Abdominal size is greater than expected by clinical dating. C'est une patiente âgée de 29 ans avec une grossesse de 34 semaines. L'échographie a été demandé car elle a une hauteur utérine plus grande que la normale



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The sonographic images demonstrate excessive ascites. Les images montrent que les organes intra-abdominaux baignent dans l'ascite foetale.
fetal ascites Ascite foetale


fetal ascites

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Ascitic fluid is seen as intra-abdominal echofree fluid. Traces of fluid may frequently be seen around the liver, spleen and the bowel loops.

Cause of Ascites :
(frequently, fetal asites occur as a part of hydrops)
* Haemolytic disease : include fetomaternal blood group incompatibilities (Rh isoimmunisation), fetal hemoglinopathy (alpha thalassemia), 6GDP deficiency, fetal hemorrhage, twin-twin transfusion and anemia due to marernal-acquised pure red cell aplasia.
* Bowel anomalie.
* Obstructive uropathy.
* Cardiovascular disease (hypoplasia of the left heart, septal defects, fetal arrhythmias :supraventricular tachycardia, heart block.
* Intrauterine infection (congenital syphilis).
* Portal venous obstruction, cirrhoses or biliary atresia.

differential diagnosis
Pseudoascites: this artifact is seen as a linear lucency beneath the skin on the lateral part of abdomen (muscle of abdominal wall).