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Prenatal diagnosis of fibular hemimelia: case report

https://doi.org/10.24835/1607-0771-2021-4-30-37

Abstract

The article presents a rare case of fibular hemimelia. Fibular hemimelia is a congenital abnormality of the lower extremity, characterized by the complete absence or hypoplasia of the fibula. Ultrasound was performed in 23-year-old pregnant women at 20 weeks 6 days of gestation as a part of second trimester screening with the use of ultrasound scanner H60 (Samsung, Korea) with a 4-8 MHz convex probe. During the evaluation of the left lower extremity, the following pathological signs were revealed: absence of the fibula, shortening of the tibia, shortening and abnormal foot position. Left tibia and left foot lengths were below the 3rd percentile for 20 weeks of gestation. There were no contralateral pathological findings. The length difference of tibias was 5 mm. The length of ulna was below the 3rd percentile for 20 weeks of gestation on both forearms. The patient decided to terminate the pregnancy. Fetal autopsy report confirmed the ultrasound findings: agenesia of the left fibula, hypoplasia of the left tibia, valgus deformity of the left foot.

About the Authors

R. B. Balter
Samara State Medical University
Russian Federation


T. P. Pugacheva
Samara State Medical University
Russian Federation


S. N. Romanova
Samara State Medical University
Russian Federation


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Review

For citations:


Balter R.B., Pugacheva T.P., Romanova S.N. Prenatal diagnosis of fibular hemimelia: case report. Ultrasound & Functional Diagnostics. 2021;(4):30-37. (In Russ.) https://doi.org/10.24835/1607-0771-2021-4-30-37

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ISSN 1607-0771 (Print)
ISSN 2408-9494 (Online)