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Diagnosis of pentalogy of cantrell in the first trimester using transvaginal sonography and color Doppler.

Türkçapar AF, Sargın Oruc A, Öksüzoglu A, Danışman N - Case Rep Obstet Gynecol (2015)

Bottom Line: During a routine transabdominal ultrasonographic examination, a midline supraumbilical abdominal wall defect including herniated liver and ectopia cordis with a large omphalocele containing the intestines and cystic hygroma was incidentally identified at the 12th week of gestation.A transvaginal sonography examination revealed a severe lumbosacral scoliosis in addition to the inability to visualize the abdominal aorta which was indicative of a severe intracardiac defect.The parents opted for pregnancy to be terminated.

View Article: PubMed Central - PubMed

Affiliation: Obstetrics and Gynecology Department, Bayindir Hospital, 06680 Ankara, Turkey.

ABSTRACT
We report the prenatal diagnosis of Cantrell syndrome in the first trimester. During a routine transabdominal ultrasonographic examination, a midline supraumbilical abdominal wall defect including herniated liver and ectopia cordis with a large omphalocele containing the intestines and cystic hygroma was incidentally identified at the 12th week of gestation. A transvaginal sonography examination revealed a severe lumbosacral scoliosis in addition to the inability to visualize the abdominal aorta which was indicative of a severe intracardiac defect. The parents opted for pregnancy to be terminated. In this case report, we discuss the complementary role of transvaginal sonography and Doppler imaging in the diagnosis of Cantrell syndrome in early pregnancy.

No MeSH data available.


Related in: MedlinePlus

The large omphalocele and herniated liver.
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fig1: The large omphalocele and herniated liver.

Mentions: A routine prenatal ultrasound examination in a 22-year-old primigravida was performed for the first trimester screening of aneuploidy. Transabdominal sonographic evaluation using a Voluson 730 Expert scanner (GE Medical systems, Kretztechnik GmbH & OHG, Zipf, Austria) equipped with a 2 to 7 MHz convex transducer demonstrated a live fetus of 12 and 3/7 weeks with a large intact omphalocele containing the intestines. A crown-rump length (CRL) and nuchal translucency measurement could not be obtained due to the cystic hygroma and vertebral deformity. A transvaginal scan using 5 to 9 MHz transvaginal probe of the same sonographic system revealed severe lumbosacral scoliosis and a midline supraumbilical abdominal wall defect including herniated liver and ectopia cordis with a large omphalocele containing the intestines (Figure 1). The abdominal aorta was unable to be visualized which might be indicative of an intracardiac defect.


Diagnosis of pentalogy of cantrell in the first trimester using transvaginal sonography and color Doppler.

Türkçapar AF, Sargın Oruc A, Öksüzoglu A, Danışman N - Case Rep Obstet Gynecol (2015)

The large omphalocele and herniated liver.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4352946&req=5

fig1: The large omphalocele and herniated liver.
Mentions: A routine prenatal ultrasound examination in a 22-year-old primigravida was performed for the first trimester screening of aneuploidy. Transabdominal sonographic evaluation using a Voluson 730 Expert scanner (GE Medical systems, Kretztechnik GmbH & OHG, Zipf, Austria) equipped with a 2 to 7 MHz convex transducer demonstrated a live fetus of 12 and 3/7 weeks with a large intact omphalocele containing the intestines. A crown-rump length (CRL) and nuchal translucency measurement could not be obtained due to the cystic hygroma and vertebral deformity. A transvaginal scan using 5 to 9 MHz transvaginal probe of the same sonographic system revealed severe lumbosacral scoliosis and a midline supraumbilical abdominal wall defect including herniated liver and ectopia cordis with a large omphalocele containing the intestines (Figure 1). The abdominal aorta was unable to be visualized which might be indicative of an intracardiac defect.

Bottom Line: During a routine transabdominal ultrasonographic examination, a midline supraumbilical abdominal wall defect including herniated liver and ectopia cordis with a large omphalocele containing the intestines and cystic hygroma was incidentally identified at the 12th week of gestation.A transvaginal sonography examination revealed a severe lumbosacral scoliosis in addition to the inability to visualize the abdominal aorta which was indicative of a severe intracardiac defect.The parents opted for pregnancy to be terminated.

View Article: PubMed Central - PubMed

Affiliation: Obstetrics and Gynecology Department, Bayindir Hospital, 06680 Ankara, Turkey.

ABSTRACT
We report the prenatal diagnosis of Cantrell syndrome in the first trimester. During a routine transabdominal ultrasonographic examination, a midline supraumbilical abdominal wall defect including herniated liver and ectopia cordis with a large omphalocele containing the intestines and cystic hygroma was incidentally identified at the 12th week of gestation. A transvaginal sonography examination revealed a severe lumbosacral scoliosis in addition to the inability to visualize the abdominal aorta which was indicative of a severe intracardiac defect. The parents opted for pregnancy to be terminated. In this case report, we discuss the complementary role of transvaginal sonography and Doppler imaging in the diagnosis of Cantrell syndrome in early pregnancy.

No MeSH data available.


Related in: MedlinePlus