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Case summary
The child was the firstborn of a consanguineous Turkish couple (first cousins). Third trimester ultrasound examination revealed a hyper-echogenic colon (Fig. 1). The family history revealed that a paternal uncle had suffered from lithiasis and another was on dialysis in Turkey without an etiology for his end stage renal failure.
Ultrasound examination at third trimester. Hyper-echogenic colon (arrow)
Questions
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What is your diagnosis for the foetus?
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Which complementary investigations do you suggest before and after birth?
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Which treatment and what kind of monitoring do you propose after birth?
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The answer to this question can be found at https://doi.org/10.1007/s00467-008-0932-9.
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Merieau, E., Cloarec, S., Benoist, J.F. et al. An antenatal hyper-echogenic colon: question. Pediatr Nephrol 24, 275 (2009). https://doi.org/10.1007/s00467-008-0930-y
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DOI: https://doi.org/10.1007/s00467-008-0930-y