Medical Challenge Case
Case: The Fly
S: 35-year-old female; 6 months pregnant with first pregnancy; complains of abdominal pain.
O: Patient’s water breaks during examination and the amniotic fluid leaks onto the floor; her pelvic examination revealed something sticking out from the vagina which felt like a piece of wood (somewhat like a little tree log extending into the vagina). There is a rivulet of fluid and baby was delivered; its head was a large bubble of membranes with a wrinkled gray gelatinous mass under it. The baby had gigantic bulging eyes like the eyes of an enormous fly staring blindly at the ceiling; long gray folds of flesh draped down to the grinning mouth.
A: What is your diagnosis?
P: What is your treatment plan?