Abstract

Objective To explore the prenatal diagnosis and delineate the terminal transverse deficiency (TLD) by using both two- (2D) and three-dimensional (3D) sonography. Methods A 21-year-old primigravida underwent ultrasound (US) examination at 27 weeks' gestation. The US machine used was a Philips iU22 (Philips Ultrasound, Bothell, WA) with a transabdominal 9-4 MHz and a 3D 6-2 MHz transducers. 2D and 3D US examination of the fetus were performed. Results In 2D sonography, a solid mass with irregular shape, measuring 1. 7 cm× 1. 2 cm without Doppler flow, was detected in the distal end of the left lower leg. 3D sonography was then performed and showed a solid irregular lump attached to the distal end of the left lower leg. A normal left foot was not detected. Conclusions TLD with absence of a unilateral whole foot is a rare form of congenital deformity. This case shows the value of using both 2D and 3D US for better clinical management and as a useful tool in obstetric counseling. Key words: terminal transverse deficiency; two-dimensional; three-dimensional; ultrasound

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