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Body stalk anomaly in a 9-week pregnancy.

Quijano FE, Rey MM, Echeverry M, Axt-Fliedner R - Case Rep Obstet Gynecol (2014)

Bottom Line: The findings suggested a short umbilical cord syndrome.The obtained images, confirmed the location of the inferior body in the coelomic space with no visible bladder, absence of the right leg, severe abdominal wall defect, consistent with an omphalocele, and a short 5 mm umbilical cord.Because of severe malformation incompatible with life, the patient was offered termination of pregnancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology, Obstetrics and Human Reproduction, Fundación Santa Fe de Bogotá Hospital, Bogotá, Colombia.

ABSTRACT
Body stalk anomaly is a rare and severe malformation syndrome in which the exact pathophysiology and trigger factors are still unknown. This is a case of a 30-year-old patient who underwent ultrasound at 9 weeks of gestation. It revealed an abnormal location of the inferior body of the embryo in the coelomic space. The findings suggested a short umbilical cord syndrome. In order to confirm the diagnosis, the patient was scheduled for a second ultrasonography at 11 weeks of gestation. The obtained images, confirmed the location of the inferior body in the coelomic space with no visible bladder, absence of the right leg, severe abdominal wall defect, consistent with an omphalocele, and a short 5 mm umbilical cord. These last ultrasonographic findings were consistent with body stalk anomaly. Because of severe malformation incompatible with life, the patient was offered termination of pregnancy. Pathologic examination confirmed the suspected pathology of body stalk anomaly.

No MeSH data available.


Related in: MedlinePlus

(a) The inferior body in the coelomic space. (b) Absence of the right leg. (c) Short umbilical cord of 5 mm. (d) Defect of the anterior and lower abdominal wall, with exposure of the intestine, liver, and spleen. The left leg was folded into the trunk. The upper extremities were normal.
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fig1: (a) The inferior body in the coelomic space. (b) Absence of the right leg. (c) Short umbilical cord of 5 mm. (d) Defect of the anterior and lower abdominal wall, with exposure of the intestine, liver, and spleen. The left leg was folded into the trunk. The upper extremities were normal.

Mentions: At 9 weeks of gestation, she had her first ultrasound examination which revealed a normal fetal crown-rump length of 2, 13 cm and an abnormal location of the inferior body of the embryo, in the coelomic space (Figure 1(a)). These findings suggested a short umbilical cord syndrome. In order to confirm the diagnosis the patient was scheduled for a second ultrasound at 11 weeks of gestation. The obtained images confirmed the location of the inferior body in the coelomic space, with no visible bladder, absence of the right leg (Figure 1(b)), a severe abdominal wall defect, compatible with an omphalocele, and a short umbilical cord of 5 mm (Figure 1(c)). These last ultrasonographic findings were consistent with body stalk anomaly.


Body stalk anomaly in a 9-week pregnancy.

Quijano FE, Rey MM, Echeverry M, Axt-Fliedner R - Case Rep Obstet Gynecol (2014)

(a) The inferior body in the coelomic space. (b) Absence of the right leg. (c) Short umbilical cord of 5 mm. (d) Defect of the anterior and lower abdominal wall, with exposure of the intestine, liver, and spleen. The left leg was folded into the trunk. The upper extremities were normal.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4109598&req=5

fig1: (a) The inferior body in the coelomic space. (b) Absence of the right leg. (c) Short umbilical cord of 5 mm. (d) Defect of the anterior and lower abdominal wall, with exposure of the intestine, liver, and spleen. The left leg was folded into the trunk. The upper extremities were normal.
Mentions: At 9 weeks of gestation, she had her first ultrasound examination which revealed a normal fetal crown-rump length of 2, 13 cm and an abnormal location of the inferior body of the embryo, in the coelomic space (Figure 1(a)). These findings suggested a short umbilical cord syndrome. In order to confirm the diagnosis the patient was scheduled for a second ultrasound at 11 weeks of gestation. The obtained images confirmed the location of the inferior body in the coelomic space, with no visible bladder, absence of the right leg (Figure 1(b)), a severe abdominal wall defect, compatible with an omphalocele, and a short umbilical cord of 5 mm (Figure 1(c)). These last ultrasonographic findings were consistent with body stalk anomaly.

Bottom Line: The findings suggested a short umbilical cord syndrome.The obtained images, confirmed the location of the inferior body in the coelomic space with no visible bladder, absence of the right leg, severe abdominal wall defect, consistent with an omphalocele, and a short 5 mm umbilical cord.Because of severe malformation incompatible with life, the patient was offered termination of pregnancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology, Obstetrics and Human Reproduction, Fundación Santa Fe de Bogotá Hospital, Bogotá, Colombia.

ABSTRACT
Body stalk anomaly is a rare and severe malformation syndrome in which the exact pathophysiology and trigger factors are still unknown. This is a case of a 30-year-old patient who underwent ultrasound at 9 weeks of gestation. It revealed an abnormal location of the inferior body of the embryo in the coelomic space. The findings suggested a short umbilical cord syndrome. In order to confirm the diagnosis, the patient was scheduled for a second ultrasonography at 11 weeks of gestation. The obtained images, confirmed the location of the inferior body in the coelomic space with no visible bladder, absence of the right leg, severe abdominal wall defect, consistent with an omphalocele, and a short 5 mm umbilical cord. These last ultrasonographic findings were consistent with body stalk anomaly. Because of severe malformation incompatible with life, the patient was offered termination of pregnancy. Pathologic examination confirmed the suspected pathology of body stalk anomaly.

No MeSH data available.


Related in: MedlinePlus