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Foetal VACTERL ASSOCIATION
Patient Name : Anita
Age : 37 yrs
History
1st Child - on 23 Jan 2001, Caegerian due to placenta previa and no labur pain
2nd - 6-8 week Missed abortion in 2009 due to no foetal development
Present Case
Pregnant for 3rd time.
LMP – 20 Dec 12
Double marker test – Negative
other problem - Cholesistitis
At 18 week of pregnancy while undergoing ultrasound, the doctor told me that the foetus has flowing two problems:-
(a)     Single umbilical artery, AF adequate

(b) Single hemiverteba - thoracolumbar spine, with mild scolisis

(c) Lt kidney :- Moderate hydronephrosis and hydro ureter, marked clubbing of cayces, poor corticomedullary diffrentiation with increased renal echogenicity, thin renal parenchyma
(d) Small echogenic intracardiac focus
(e) Humerus and femur between 5-50 percentile - not very significant

Request advise on:-
(a)     What are chances of developing congenital heart disease at later part of pregnancy
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