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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

Appearance of the fetus at autopsy.
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Related In: Results  -  Collection


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fig2: Appearance of the fetus at autopsy.

Mentions: After counseling the parents about the poor prognosis of the syndrome with complex presentation and multistaged corrective surgical procedures, the parents elected to terminate the pregnancy. The diagnosis was confirmed on the postnatal examination and there were no karyotype anomalies. At the autopsy, a diaphragmatic defect with a large omphalocele, herniated liver, and ectopia cordis (EC) was confirmed. Intracardiac structure was reported to be normal. Postnatal appearance of the fetus is shown in Figure 2.


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)

Appearance of the fetus at autopsy.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig2: Appearance of the fetus at autopsy.
Mentions: After counseling the parents about the poor prognosis of the syndrome with complex presentation and multistaged corrective surgical procedures, the parents elected to terminate the pregnancy. The diagnosis was confirmed on the postnatal examination and there were no karyotype anomalies. At the autopsy, a diaphragmatic defect with a large omphalocele, herniated liver, and ectopia cordis (EC) was confirmed. Intracardiac structure was reported to be normal. Postnatal appearance of the fetus is shown in Figure 2.

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