Routine antenatal check up.
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The antenatal scan showed subcutaneous oedema including scalp oedema, fetal ascites and placentomegaly suggesting a diagnosis of hydrops fetalis.
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Hydrops fetalis was detected on a routine antenatal ultrasound. The patient's blood group was O negative and she was not administered Rh antibody during the first pregnancy, which ended in an uneventful normal delivery.
The diagnosis of hydrops fetalis requires the presence of fluid or oedema in two or more fetal compartments. In this case - subcutaneous oedema and ascites. Placentomegaly and polyhydramnios are in seen in more severe cases of hydrops.