HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Do My Lab Test Reports Indicate?

Posted on Tue, 11 Oct 2016

Question: My wife is pregnant , duration 14 to 15 weeks.
Today we went for a 3rd month check up. The doctor found some abnormalities in fetal.
The Evaluation says :
SPINE : Normal
BRAIN : Ventricular system is normal
FETAL URINARY BLADDAR IS OVER DISTENDED MEASURING 16MM
BOTH KIDNEYS SHOW INCREASED ECHOGENECITY OF CORTEX LONGITUDINALLY
INTRACERDIAC ECHOGENIC FOCI.

We are worried about the report. Please suggest next steps

Answered by Dr. Aarti Abraham (1 hour later)

Brief Answer:
As below

Detailed Answer:
Hello
Thanks for trusting us with your health concern.
Please upload the scans scan report so that I can go through it and then guide you further.
What is your wife 's age?
Is this her first pregnancy?
Looking forward to hearing from you.
Take care

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aarti Abraham (5 hours later)

Hi Dr,

I have attached the reports.

Thanks,
XXXXX

Answered by Dr. Aarti Abraham (5 hours later)

Brief Answer:
As below

Detailed Answer:
Thank you Mr. XXXXXXX for attaching all the reports.
I have a few more questions for you -
Was any scan or genetic testing done before this ultrasound scan ?
What is your wife's age ?
Is this her first pregnancy ?
Is there any other complication - diabetes, high blood pressure or any other illness ?
Any abnormal children earlier or in the immediate family ?
An enlarged urinary bladder in the baby is called megacystis.
That is the condition detected in your child.
In more than 10 % of cases, it maybe associated with other major abnormalities in the heart, brain, spine and lungs.
Even if there are no abnormalities, kidney obstruction may occur.
Serial ultrasound scans done ahead in future only will reveal if the bladder swelling resolves or it worsens.
So the decision is ultimately yours.
The immediate next step is to consult a Genetic and Fetal Medicine Specialist and to go for amniocentesis ( withdrawing fluid from the baby and sending it to best for abnormalities ) .
Based on the amniocentesis report, you can then take your decision.
Take care.
Feel free at any time to discuss further doubts with me.
Best wishes and regards.

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Aarti Abraham (25 minutes later)

Age 23
This is her first pregnancy

I have network issues. Please bear with me,
There was UGC NTscan, abdominal scan done before when the foetus age was around 4 , 8 weeks
This her first pregnancy
Age of my wife is 23
No high blood pressure and other health related issues

Answered by Dr. Aarti Abraham (4 hours later)

Brief Answer:
As below

Detailed Answer:
Can you upload all earlier scans done so far too please?
Particularly NT SCAN?

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Aarti Abraham (43 minutes later)

I uploaded today's scan and all old report's

Answered by Dr. Aarti Abraham (4 hours later)

Brief Answer:
As below

Detailed Answer:
Okay , thank you .
I have gone through all the reports.
There is megacystis ( dilated bladder ) and the next step is to go for amniocentesis as I suggested.
PLease do that .
Where do you reside, I can suggest a Genetic Specialist or Foetal Medicine specialist.

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

Follow up: Dr. Aarti Abraham (10 hours later)

We are planning to terminate the pregnancy

Answered by Dr. Aarti Abraham (43 minutes later)

Brief Answer:
As below

Detailed Answer:
If you do not want to take any chances, yes, that is a good decision too.
But please ensure that the aborted fetus ( baby ) is sent for examination to know the reason for the abnormal formation.
That is important so that you can take steps to have a healthy child next time.
Do not plan a pregnancy for 3 more months after the termination , and before planning, take 5 mg per day Folvite ( for your wife ).
All the best, and my heartiest sympathies for you.
You can reach me directly anytime, by clicking on the following link to my profile -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care.

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

Follow up: Dr. Aarti Abraham (45 minutes later)

Thanks a lot doctor. I will do as you suggested. Thanks for your valuable time in answering my queries, really appreciate.
Have great day!

Can you suggest best genetic doctor for counseling and also we suspect this could be happening due to some genetic disorders so we are trying to figure out the root cause of the problem.

We presently reside in XXXXXXX state of Telangana and my home town is XXXXXXX , Telangana

Hello Dr,
I have a very urgent issue. Please suggest.
We are currently away from XXXXXXX and would like to do examination of aborted fetus, please suggest best hospital in XXXXXXX or can we collect the sample here and send sample to XXXXXXX What is the best way and we are not admitted to any hospital. We are in dilemma to proceed further

Answered by Dr. Aarti Abraham (5 hours later)

Brief Answer:
As below

Detailed Answer:
Contact Fernandez Hospital in XXXXXXX
That is the best place for further action.
Take care.
Contact any of the two doctors here -
http://www.fernandezhospital.com/Our_Team_Fetal.aspx
Take care.

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

Follow up: Dr. Aarti Abraham (1 hour later)

Thank you

Answered by Dr. Aarti Abraham (18 hours later)

Brief Answer:
As below

Detailed Answer:
You are most welcome anytime dear.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

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