USG-cacat Bawaan Kromosomal Padang2012

7/23/2019 USG-cacat Bawaan Kromosomal Padang2012

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ULTRASOUND MARKER OFCHROMOSOMAL ANOMALY IN

FIRST TRIMESTER PREGNANCY

Johanes C. Mose

Dept. Obstet Gynecol Facultyof Medicine

Padjadjaran UniversityBandun



• First Trimester Detection of

Congenital Anomalies - Early Sonographic Markers

- Common Chromosomal

Anomalies

•

Second Trimester Detection ofCongenital Anomalies



irst trimester detectio

of fet! nom!ies



N"c#!N"c#!

trns!"cenc$trns!"cenc$•S"%c"tneo"s edem &'(&) *ee+s



N"c#!N"c#!

trns!"cenc$trns!"cenc$



NASAL BONE



Absent nasal bone, Amniocentesis : Trisomy 21



Absent nasal bone

! #



U!trsono,r-#$U!trsono,r-#$

for c#romosom!for c#romosom!

nom!$nom!$&. Str"ct"r! nom!ies

/. Mr+ers forc#romosom! nom!ies

( min!$ Trisomies /&0 &1 2 &3



• Trisom$ /&

• Trisom$ &1

•

Trisom$ &3• Tri-!oid$

• T"rner’s

ommonommonC#romosom!C#romosom!

Anom!iesAnom!ies



Mr+ers ofMr+ers of

Trisom$ /&Trisom$ /&

SKULL 4 5RAIN

– %rc#$ce-#!$ &67

– 8entric"!ome,!$ &97

–

c#oroid -!e:"s c$sts 17– en!r,ed cistern m,n ;7



NECK

–n"c#! edem 317 CHEST

–crdic %norm!it$ /97

Mr+ers ofMr+ers of




A5DOMEN

– d"oden! tresi 17

– %sent stomc# 37

– mi!d #$drone-#rosis 3'7

– ot#er ren! -ro%!ems ;7

Mr+ers ofMr+ers of




OTHERS

– #$dro-s /'7

– SGA /'7

– s#ort fem"r /17

– %norm! #nds 4 feet /67

–

t!i-es 37

Mr+ers ofMr+ers of




SKULL 4 5RAIN

– str*%err$(s#-ed #ed 6)7

– %rc#$ce-#!$ /<7

– 8entric"!ome,!$ &)7

– #o!o-rosence-#!$ 37– CPC );7

– %sent cor-"s c!!os"m ;7

– -osterior foss c$st &'7

– en!r,ed cistern m,n &97

Mr+ers ofMr+ers of

Trisom$ &1Trisom$ &1



FACE 4 NECK

fci! c!eft &'7

micro,nt#i 637

n"c#! edem 67c$stic #$,rom /7

CHEST

crdic %norm!ities 6/7

di-#r,mtic #erni &'7

Mr+ers ofMr+ers of




A5DOMEN

– om-#!ocoe!e 3'7

– %sent stomc# /'7

– mi!d #$drone-#rosis&97

Mr+ers ofMr+ers of


M + fM + f



OTHERS– #$dro-s )7

– SGA 9&7

– s#ort fem"r /67

– %norm! #nds 4 feet&/7

– t!i-es 3'7

Mr+ers ofMr+ers of




SKULL 4 5RAIN– %rc#$ce-#!$ /97

– 8entric"!ome,!$ <7

– microce-#!$ /)7

– #o!o-rosence-#!$ 3<7– CPC /7

– -osterior foss c$st &67

– en!r,ed cistern m,n /67

Mr+ers ofMr+ers of


M + fMr+ers of



FACE 4 NECK

– fci! c!eft 3<7

– micron,t#i <7

–

n"c#! oedem //7 CHEST

– di-#r,mtic #erni 97

– crdic %norm!it$ )37

Mr+ers ofMr+ers of


Mr+ers ofMr+ers of



A5DOMEN

– om-#!ocoe!e &;7

–

mi!d #$drone-#rosis 3;7– ot#er ren! %norm!ities /)7

Mr+ers ofMr+ers of


Mr+ers ofMr+ers of



OTHERS

– #$dro-s ;7

– SGA 9&7

– re!ti8e!$ s#ort fem"r <7

– %norm! #nds 4 feet 6/7

– t!i-es &&7

Mr+ers ofMr+ers of


USG-cacat Bawaan Kromosomal Padang2012

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