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ultrasound diagnosis of fatal anomalies

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URETHRAL VALVE SEQUENCE

Fig. 7.31 Urethral valve sequence. Megacystis at

15 weeks, longitudinal section. No other anomalies,

normal male karyotype.

Fig. 7.32 Urethral valve sequence. Same case, in a

cross-section showing the “keyhole phenomenon.”

There is a small amount of ascites due to a temporary

vesicoabdominal fistula after bladder aspiration.

Fig. 7.33 Urethral valve sequence. Same fetus,

23 + 1, with severe distension of the ureter and unilateral

hydronephrosis.

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