Fetal death: Spalding sign

Case contributed by Dr Chris O'Donnell

Presentation

Absent fetal movements at 24 weeks gestation. No fetal cardiac activity detected on bedside Doppler.

Patient Data

Age: 20 years
Gender: Female
Modality: Ultrasound

Absent foetal cardiac activity, swelling of the foetal skin, markedly reduced liquor, absent foetal movements and overlap/deformity of the skull plates are all indications of foetal death.

Case Discussion

Spalding sign consists of deformity with overlap of the skull plates on ultrasound, occurring some days after fetal death in utero. It was originally described as a radiographic finding.

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Case Information

rID: 37322
Case created: 3rd Jun 2015
Last edited: 1st May 2016
System: Obstetrics
Inclusion in quiz mode: Included

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