Diagnostic Challenge december 2018

Abstract

Female newborn, product of a 36-year-old mother, G5P4C0A0, diagnosed with a 30.5-week pregnancy, severe preeclampsia, anhydramnios, and intrauterine growth retardation. With five prenatal controls, HIV negative, non-reactor VDRL, typing, Rh O +, who was born via caesarean section showing absence of amniotic fluid, apgar 9/9, weight: 1040g, height: 33 cm, head circumference: 32 cm, undetermined sex, low-set ears, bilateral pulmonary hypoventilation, undifferentiated genitalia, presence of a single fused lower extremity with presence of 4 fingers. He was admitted to Neonatology with moderate respiratory distress. Brain ultrasound: cerebellum with slight decrease in volume, no hydrocephalus, no intraventricular hemorrhage. Abdominal ultrasound fails to define pancreas, kidneys, or bladder.