Fetal Ascites

---

Figer-1

📄 Report Sample Line- Ascites (During First Trimester / NT Screening)
Anechoic free fluid visualized within the fetal peritoneal cavity, outlining bowel loops and liver contours, consistent with fetal ascites. No associated bowel wall thickening or echogenicity noted at this stage.


Conclussion: 📋 Sonographic features indicate fetal ascites.
Recommendation: Screen for fetal infections (TORCH, Parvovirus B19), and assess fetal heart and urinary tract.
Note:-Fetal early sign of hydrops fetalis or secondary to intra-abdominal pathology, infections, genitourinary obstruction, cardiac failure, or chromosomal abnormalities.

---

Note: Select English to answer in English, या हिंदी चुनें तो प्रश्नों के उत्तर हिंदी में दीजिए।

1. What is fetal ascites? 1. फेटल एसाइटिस क्या है?
A. Accumulation of free fluid in the fetal peritoneal cavity
B. Fluid in the maternal peritoneal cavity
C. Fluid in the fetal pleural space only
D. Normal amniotic fluid

2. Fetal ascites is most commonly associated with which condition? 2. फेटल एसाइटिस सबसे अधिक किस स्थिति से जुड़ा होता है?
A. Fetal hydrops (generalized oedema)
B. Maternal hypertension
C. Placenta previa
D. Normal twin pregnancy

3. Which ultrasound feature suggests fetal ascites? 3. कौन सा अल्ट्रासाउंड लक्षण फेटल एसाइटिस का संकेत देता है?
A. Anechoic free fluid surrounding fetal bowel/abdominal organs
B. Increased femur length only
C. Thickened placenta only
D. Absent amniotic fluid

4. Common causes of fetal ascites include: 4. फेटल एसाइटिस के सामान्य कारणों में शामिल हैं:
A. Fetal infections (eg CMV), gastrointestinal obstruction, urinary tract obstruction, fetal anemia/hydrops
B. Maternal anemia only
C. Maternal diabetes only
D. Always due to placental abruption

5. In fetal ascites due to urinary tract obstruction, which associated sonographic finding is expected? 5. मूत्र मार्ग रोध के कारण फेटल एसाइटिस में कौन सी जुड़ी हुई सोनोग्राफिक खोज अपेक्षित है?
A. Hydronephrosis and a distended bladder (megacystis)
B. Normal kidneys and empty bladder
C. Polyhydramnios only
D. Placenta previa

6. Which investigation helps evaluate infectious causes of fetal ascites? 6. फेटल एसाइटिस के संक्रामक कारणों का मूल्यांकन करने में कौन सी जाँच मदद करती है?
A. Maternal serology for TORCH infections (eg CMV, Toxoplasma)
B. Fetal ECG
C. Maternal urine culture only
D. Chest X-ray

7. Management options for isolated fetal ascites depend on cause; which option is correct? 7. एकल फेटल एसाइटिस के लिए प्रबंधन कारण पर निर्भर करता है; कौन सा विकल्प सही है?
A. If due to urinary obstruction, fetal intervention (eg vesicoamniotic shunt) may be considered
B. Immediate delivery in all cases
C. No follow-up required
D. Maternal antibiotics always cure it

8. Prognosis for fetal ascites is best predicted by: 8. फेटल एसाइटिस के लिए पूर्वानुमान का सर्वश्रेष्ठ निर्धारण किससे होता है?
A. Underlying cause and presence or absence of hydrops
B. Maternal age only
C. Fetal sex only
D. Placental weight only

9. Which antenatal procedure can be diagnostic and therapeutic for fetal ascites in certain cases? 9. किन परिस्थितियों में कौन सी गर्भकालीन प्रक्रिया फेटल एसाइटिस के लिए निदानात्मक और उपचारात्मक दोनों हो सकती है?
A. Therapeutic paracentesis (ultrasound-guided aspiration of ascitic fluid)
B. Maternal blood transfusion only
C. Hysterectomy
D. Fetal MRI always cures ascites

10. Which sonographic sign indicates fetal hydrops rather than isolated ascites? 10. अलगावित एसाइटिस के बजाय फेटल हाइड्रॉस का संकेत देने वाला कौन सा सोनोग्राफिक संकेत है?
A. Presence of ascites plus pleural effusion, pericardial effusion or skin edema
B. Ascites only with normal skin and no effusions
C. Increased femur length only
D. Absence of placenta