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Spalding sign

Case contributed by Grace Carpenter
Diagnosis certain

Presentation

G2P1 at 28/40 gestation presenting with 3/7 absent foetal movements.

Patient Data

Age: 30 years
Gender: Female
ultrasound

The foetus is distorted with a Spalding sign. Oligohydramnios.

Conclusion: foetal death in utero

Case Discussion

This case highlights the Spalding sign, the overlapping of the foetal cranial bones following fetal death in utero.

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