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Previous Volume 360:2225-2235 May 21, 2009 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 32-year-old pregnant woman was admitted to the hospital at 23.1 weeks of gestation, because of an abnormal fetal ultrasound study.

Approximately 15 weeks earlier, a home urine test for human chorionic gonadotropin confirmed an unplanned but highly desired pregnancy. A sonogram of the pelvis 14.5 weeks before admission revealed a single gestational sac containing an embryo that was consistent with a gestational age of 8 weeks 4 days; the uterus, sac, and embryo appeared normal.

The patient came to the outpatient obstetrics office of this hospital at 11.7 weeks of gestation for her first prenatal visit. She felt well. . . . [Full Text of this Article]

Differential Diagnosis

Genetic Syndromes Associated with Nuchal Hygromas and Nonimmune Hydrops Fetalis

Cardiac Causes

Chromosomal Abnormalities

Infectious Causes

Anatomical Abnormalities

Lysosomal Storage Diseases

Lymphatic Disorders

Clinical Diagnosis

Dr. Charles J. Lockwood's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, CT (C.J.L.); the Departments of Obstetrics and Gynecology (A.S.N.), Pediatrics (M.E.K.), and Pathology (D.J.R.), Massachusetts General Hospital, Boston; and the Departments of Obstetrics, Gynecology, and Reproductive Biology (A.S.N.), Medicine (M.E.K.), and Pathology (D.J.R.), Harvard Medical School, Boston.

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