Turkey.
This patient is 37 years old and G9P6. She was come my office at her 19-week her history is unremarkable. During her ultrasonographicexamination, the baby appeared normal, in particular the amniotic fluid quantity was normal and the stomach was visible. She returned at 27-week, complaining of abdominal distention and pain. The examination revealed polyhydramnios and the stomach was not visible.
On repeat examinations the stomach was always too small. A therapeutic amniocentesis was performed to relieve the abdominal distention. The karyotype was normal.
A term 2900g male baby was delivered. A nasogastric tube was passed but did not reach the stomach. The baby was taken to surgery without delay and the diagnosis of proximal esophageal atresia with distal tracheo-esophageal fistula was confirmed.
The small stomach: