Reverse end-diastolic flow in a fetus with a rare XXXX : a case report.

@entity1 @entity101 @entity428 @entity4 @entity843 @entity600 @entity513 @entity854 @entity9427 @entity99 @entity2241
INTRODUCTION: We describe a case of early and persistent reverse end-diastolic flow in the middle cerebral artery in a fetus with severe @entity843 . These features are associated with a rare @entity99 known as @entity513 . CASE PRESENTATION: A 28-year-old Caucasian @entity1 was referred to our high-risk obstetric unit at 24 weeks' gestation for @entity2241 detected during a routine ultrasound examination. During her hospitalization we performed medical investigations, including a fetal paracentesis, to detect the etiology of @entity2241 . The cause of @entity2241 (then considered non-immune or idiopathic) was not evident, but a subsequent ultrasound examination at 27 weeks' gestation showed a reverse end-diastolic flow in the middle cerebral artery without any other @entity854 . A cesarean section was performed at 28 weeks' gestation because of the compromised fetal condition. An autopsy revealed a rare @entity600 of intrahepatic bile ducts known as @entity513 . CONCLUSION: Persistent reverse flow in the middle cerebral artery should be considered a marker of adverse pregnancy outcome. We recommend careful ultrasound monitoring in the presence of this ultrasonographic sign to exclude any other cause of @entity428 . To better understand the nature of these ultrasonographic signs, additional reports are deemed necessary. In fact in our case, as confirmed by histopathological examination, the fetal condition was extremely compromised due to failure of the fetal liver. @entity513 altered the liver structures causing @entity9427 and probably portal @entity101 . These two conditions therefore explain the severe @entity4 that compromised the fetal situation.
