Syphilis ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2], Tarek Nafee, M.D. [3]

Overview

Ultrasound only plays a role as part of the routine prenatal screening. In cases of congenital syphilis that were not detected on laboratory tests, antenatal sonogram may demonstrate non-specific findings such as placentomegaly, fetal hepatosplenomegaly, bent long bones, and fetal ascites.

Ultrasound

Antenatal sonographic features are often non-specific and mimic those of the generalized in utero infection. Such features include:

• Fetal hepatosplenomegaly
• Placentomegaly
• Fetal ascites
  

In severe cases there may be evidence of:

• Fetal hydrops
• Bent fetal long bones