Omphalocele in limb/body wall deficiency syndrome: Atypical sonographic appearance
✍ Scribed by Andrew M. Fried; John H. Woodring; Robert W. Shier; Peggy B. Falace
- Publisher
- John Wiley and Sons
- Year
- 1982
- Tongue
- English
- Weight
- 320 KB
- Volume
- 10
- Category
- Article
- ISSN
- 0091-2751
No coin nor oath required. For personal study only.
✦ Synopsis
Reports of a number of fetal and placental anomalies have appeared in the recent literature, attesting to the value of sonography in the antenatal diagnosis of a variety of malformations. Om- phalocele, gastroschisis, umbilical hernia, and sacrococcygeal teratoma are representative of the entities
We recently encountered a case of limb/body wall deficiency, a little-known constellation, which produced a confusing sonographic picture.
CASE REPORTS
Case 1 DM is a 20-yr-old white woman, gravida 1, para 0, who was referred for sonographic evaluation by her attending obstetrician. During an office visit, real-time sonography with a 3.5-MHz linear array unit* had revealed an unexplained collection of echoes adjacent to the fetus.
Evaluation in our laboratory with conventional digital gray-scale B-mode equipment,? using a 3.5-MHz medium internally focused transducer, confirmed the presence of a complex mass adjacent to the fetal rump and inseparable from the caudal end of the fetus (Fig 1). The texture of the mass and its constant relationship with respect to the lower pole of the fetus led to the erroneous antepartum diagnosis of sacrococcygeal teratoma. Omphalocele was considered but deemed less likely. The clinical and sonographic estimation of fetal age was approximately 34 wk.