Pentalogy of Cantrell or One of its Variants

Paritosh C. Khanna, MD, DMRE; Alpa Bharati, MD; Suleman A. Merchant, MD, DMRD

Disclosures

October 31, 2005

Summary

A 28-year-old primigravida presented for routine prenatal ultrasonographic scanning at 24 weeks of gestation. The fetus was alive at sonography, but the ultrasound scan (Figure 1A) showed defects in the fetus, which were confirmed at autopsy (Figure 1B).

(A) Transverse ultrasonographic scan of the fetus depicting herniated thoracic (H = heart) and abdominal (liver and bowel -- single arrow) contents. (B) Postmortem photograph of the stillborn neonate with omphalocele with herniated liver and bowel, ectopia cordis, clubfoot, and bilateral cleft lip. The neonate also had a cleft palate.

(A) Transverse ultrasonographic scan of the fetus depicting herniated thoracic (H = heart) and abdominal (liver and bowel -- single arrow) contents. (B) Postmortem photograph of the stillborn neonate with omphalocele with herniated liver and bowel, ectopia cordis, clubfoot, and bilateral cleft lip. The neonate also had a cleft palate.

A 23-year-old primigravida presented for routine prenatal ultrasonographic evaluation at 25.5 weeks of gestation. This fetus was alive at sonography, but the ultrasonographic examination revealed major defects in the fetus (Figure 2).

Prenatal ultrasound of the 25.5-week fetus shows the covering of the omphalocele (arrows on left) and the herniated liver and bowel. Ectopia cordis was also present.

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