Congenital high airways obstruction syndrome

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Gravida 1. 19 weeks of amenorrhea. Leaking per vagina for 2 days.

Patient Data

Age: 25 years
Gender: Female

Ultrasound shows nearly absent liquor; a single umbilical artery and an umbilical cord cyst. Both lungs are echogenic compressing heart along with flat/inverted hemidiaphragm and dilated trachea - main bronchi. There is a cyst involving the umbilical cord.

Fetal growth corresponds to 18 wks (biometry not uploaded).

Case Discussion

Primigravida female presents with history of leaking per vaginum for last 2 days. Ultrasound shows nearly absent liquor. Echogenic both lungs compressing heart, flat / inverted hemidiaphragms and dilated trachea - main bronchi favor diagnosis of congenital high airway obstruction.

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