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What does this ultrasound report showing club foot of fetus indicate?

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Posted on Thu, 19 Feb 2015
Question: Hello. I just had a level 2 ultrasound because my doctor thought they saw clubfoot. I was 20 weeks at the level 2 us. The doctor's said that my baby had "the most abnormal foot that he has ever saw". He said it is not club foot. The right foot is considerably larger than the left and he says it appears to be fluid filled or swollen. He is not sure what it is. He said it does have bones and toes. He also found two focal echolalia (calcium deposits on heart) and a 2-vessel cord (SUA). He has offered me amniocentesis. I have to go back for a echocardiogram in two weeks at which time I have to make a decision about the amnio. I am so scared and I cannot find any info about what my baby's abnormal foot can be. I am hoping it may be an I jury, is this a possibility? Do you have any idea what could be going on with my baby girl?? Could it be congenital lymphodema?
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Answered by Dr. Mahesh Koregol (1 hour later)
Brief Answer:
Amniocentesis is required

Detailed Answer:
Hi,

I read your query and I understand your concerns about foot problems with baby.

Following is my reply:

1) This is not an injury.

2) This is probably club foot which is appearing as swelling due to pressure effect.

3) Another possibility is chromosomal abnormality like down's syndrome which present with some foot malformations. This especially holds good due to calcification of in heart and 2 vessels cord. These are more indicative of down's syndrome.

4) These chromosomal defects can be diagnosed only by doing amniocentesis.

5) Amniocentesis is a simple procedure to rule out all types of chromosomal abnormalities.

Let me know if you have anymore questions.

Regards,
Dr. Mahesh Koregol
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Mahesh Koregol (1 minute later)
What about congenital/primary lymphodema?
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Answered by Dr. Mahesh Koregol (6 minutes later)
Brief Answer:
More like down's syndrome

Detailed Answer:
Hi,

These findings are more suggestive of chromosomal abnormality like syndrome. Congenital / primary lymphodema possibilty is there but difficult to predict about them without amniocentesis.

I feel amniocentesis is best option in view of calcified heart and 2 vessel cord.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3801 Questions

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What does this ultrasound report showing club foot of fetus indicate?

Brief Answer: Amniocentesis is required Detailed Answer: Hi, I read your query and I understand your concerns about foot problems with baby. Following is my reply: 1) This is not an injury. 2) This is probably club foot which is appearing as swelling due to pressure effect. 3) Another possibility is chromosomal abnormality like down's syndrome which present with some foot malformations. This especially holds good due to calcification of in heart and 2 vessels cord. These are more indicative of down's syndrome. 4) These chromosomal defects can be diagnosed only by doing amniocentesis. 5) Amniocentesis is a simple procedure to rule out all types of chromosomal abnormalities. Let me know if you have anymore questions. Regards, Dr. Mahesh Koregol