Patient: examined on April 2, 2009 at a specialized obstetrics hospital Ultrasound report card describes the following: age 31, site: fetus Biological indicators Heartbeat: yes Tension: yes Activity: yes Amniotic fluid: yes Respiration: not seen Ultrasound observations: enlarged uterus visible fetal head located below, bilateral parietal diameter 89.1mm, head circumference 300.6mm, skull halo intact, midline centered, transparent septal cavity inner diameter 7mm. Bilateral thalamus was seen symmetrically on the left and right side, the internal diameter of the lateral ventricle on one side was 5.6mm, the shape of bilateral cerebellar hemispheres was not obviously abnormal, the transverse diameter of cerebellum was 40mm, the deep diameter of posterior cranial fossa pool was 6mm, both eyes and nose were visible, when the fetus shut up, the skin of the upper lip was not obviously interrupted in continuity, the spine was visible, the fetal heart beat was regular, the heart rate was 132 beats/min, the four-chambered heart section could be shown, the fetal movement was visible. Abdominal circumference was 267.7 mm, both kidneys and bladder were visible, no filling gastric alveoli were shown after several examinations, left renal pelvis was separated by 3.6 mm, right renal pelvis was separated by 3.6 mm, long neck of humerus was 55.7 mm, bilateral upper arms and humerus within them were visible, bilateral forearms and ulna and radius within them were visible, hands were in fist shape, femur length was 64.9 mm, bilateral thighs and femur within them were visible, bilateral calves and The placenta is attached to the fundus of the uterus and is 38mm thick, multiple scattered strong light spots are visible in the basal layer of the placenta, the deepest diameter of the amniotic fluid is 149mm, and the amniotic fluid index is 303.1mm (normal amniotic fluid index is 100-240mm). CDFI: normal fetal heart spectrum is seen, two umbilical arteries are visible S/D: 3.0 RI: 0.67 Ultrasound suggests: 31 weeks gestation, singleton, cephalic position, live fetus. The fetal abdominal cavity is not filled with gastric vesicle sonogram, excessive amniotic fluid, consider: fetal esophageal atresia is more likely. Combined with clinical, regular review is recommended. The next day, the ultrasound was done again, and still no filling gastric vesicles were seen. The doctor suggested to terminate the pregnancy, the pregnant woman and her family were very sad and in tears, I don’t know if there is any hope for a successful solution through treatment after delivery, please. The results of the biochemical examination done in a professional obstetrics hospital half a month ago were basically normal, all trace elements were normal, slightly deficient in calcium; hepatitis B examination was normal with antibodies; blood sugar examination was normal. Answer: You can do a fetal MRI examination to clarify again, first of all, to basically clarify whether there is a problem with the fetus, which is the most important point. In general, increased amniotic fluid should be considered as a possible congenital digestive tract abnormality in the fetus. The exact location of the problem will depend on the condition of the esophagus and the dilatation and extent of the gastric and intestinal tubes in the abdominal cavity. If it is true that the gastric alveoli do not show, the possibility of the presence of esophageal atresia is usually considered, and of course the esophagus should be carefully observed. There are 5 types of esophageal atresia. Most of them are type III, about 85% or more, and can be treated with pediatric surgery with good results. (Sometimes type III esophageal atresia is not always visible on ultrasound.) If a gastric blister is not seen, the presence of type I or II should be considered, with type II being very rare and the incidence of type I being much higher than that of type II. Type I esophageal atresia is currently recognized as the more difficult type to manage, with relatively more complications than type III. Most places and hospitals in China do not have much experience in managing this type of esophageal atresia. We at Xinhua Hospital have treated many patients from Beijing, Sichuan and East China, including stage I and II surgery, and have accumulated a lot of experience in dealing with this type of esophageal atresia. About 80% of the children treated by us are satisfied with their parents and there are no deaths. The current treatment for type I esophageal atresia is a one-stage esophageal replacement procedure in the neonatal period. I have a special fetal consultation clinic, which is a joint clinic with the head of obstetrics. As in your case, we have met several cases in China, and our advice is that the disease is treatable in the hospital pediatric surgery, and most children have satisfactory results, so we do not recommend terminating the pregnancy and abandoning the child.