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- W3014358478 abstract "* Abbreviations: MFCC: : Maternal Fetal Care Center MRI: : magnetic resonance imaging VSD: : ventricular septal defectA 12-week fetal sonogram in a 22-year-old gravida 1 para 0 pregnant woman was suggestive of multiple anomalies. She had previously been known to have a congenital uterine anomaly with both a vaginal septum and uterine septum that were removed 3 years before the current pregnancy. She had 2 cervices with 1 uterine cavity and normal bilateral fallopian tubes at the time of this spontaneous pregnancy. Her initial course was uncomplicated, but fetal ultrasonography at 12 weeks’ gestation showed a large anterior wall defect spanning both the chest and abdomen, with concern for possible ectopia cordis. The fetus was noted to have restricted movement within a subjectively small amniotic sac. Cell-free fetal DNA screening was low risk and amniocentesis was not performed. She was referred to the Maternal Fetal Care Center (MFCC) at 17 weeks’ gestation for further evaluation and counseling.Imaging at the MFCC at 17 weeks and 3 days of gestation included fetal ultrasonography, magnetic resonance imaging (MRI), and fetal echocardiography. Imaging findings included the following: a small portion of the cardiac apex was outside the chest, a small anterior diaphragmatic hernia, a large abdominal wall defect with liver and bowel herniation, and significant thoracic kyphosis (Fig 1). In addition, a complete amnion-chorion separation was noted (Fig 2, ultrasound scan; Fig 3, MRI). Fetal echocardiography showed a ventricular septal defect (VSD) with a mildly hypoplastic pulmonary valve and partial ectopia cordis with a small sternal defect with left cardiac ventricle herniation.Figure 1. Prenatal T2 magnetic resonance imaging at 17 weeks’ gestation demonstrating herniated liver (solid green arrow) and small herniation of the apex of the heart (dashed green arrow) through a diaphragmatic defect. Evisceration of the small bowel (solid yellow arrow) and colon (dashed yellow arrow) are also visualized. Demonstration of kyphoscoliosis (red arrow).Figure 2. Ultrasound image demonstrating …" @default.
- W3014358478 created "2020-04-10" @default.
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- W3014358478 date "2020-04-01" @default.
- W3014358478 modified "2023-09-27" @default.
- W3014358478 title "Prenatal Diagnosis of a Ventral Abdominal Wall Defect" @default.
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- W3014358478 doi "https://doi.org/10.1542/neo.21-4-e286" @default.
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