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Having not been pregnant myself, I don't know if it can be detected by an ultrasound.
But, my friend who is pregnant (4-5 months along) said that she had her LAST ultrasound at 4 months. Soooo, if something were to happen further in the pregnancy to the baby but she felt no signs of anything being wrong, there wouldn't be a reason for an ultrasound. Now, if you are a high risk pregnancy that might be different, but I'd imagine if she was high risk something like this might have been detected earlier.
As for the organs, we don't know what organs were "outside" of her body. Maybe there were to many outside that they (the doctors) just weren't able to save her. Who knows.
If in fact the story is reliable.
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"Courage is not the absence of fear, but the capacity to act despite our fears" John McCain
No one can make you feel inferior without your consent." Eleanor Roosevelt
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