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Body Stalk Anomalinin Prenatal Tanısı: Vaka Takdimi

Prenatal Diagnosis of Body Stalk Anomaly: A Case Report

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Body stalk anomaly is a rare developmental anomaly characterized by an enlarged abdominal wall defect, severe kyphoscoliosis and a rudimentary umbilical cord. It is often complicated by anomalies of head, face and extremities. It is diagnosed by ultrasonography, mostly in the second trimester of pregnancy during gestational age dating or evaluation of an elevated maternal serum α-fetoprotein. We present a case of body stalk anomaly at 23 weeks of gestation, diagnosed incidentally during sonographic evaluation in the first visit. Sonographic features of the fetus were severe midline defect of the fetal abdominal wall and a large extra-abdominal mass containing bowel and liver inside, severe scoliosis, clubfoot, absent urinary bladder and oligohydramnios. Body stalk anomaly is accepted as a fatal anomaly, so it’s important to differentiate it from other anterior wall defects for evaluating the management options.
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Abstract (Original Language): 
Body Stalk Anomali” geniş karın ön duvarı defekti, ciddi kifoskolyoz ve rudimenter umblikal kord ile karakterize, nadir görülen gelişimsel bir anomalidir. Genellikle baş, yüz ve ekstremite anomalileri eşlik eder. Sıklıkla gebeliğin ikinci trimesterinde, gestasyonel yaş tayini ya da artmış maternal serum alfa-fetoprotein araştırması esnasında ultrasonografi ile tanı koyulur. Yazımızda gebeliğin 23. haftasında, ilk vizitte ultrasonografi ile tesadüfen tanı koyulmuş body stalk anomalisi vakası sunulmaktadır. Vakanın ultrasonografik bulguları fetusta karın ön duvarında ciddi orta hat defekti ve içerisinde karaciğer ve barsak bulunan abdomen dışında geniş kitle, ciddi skolyoz, clubfoot, idrar torbasının olmaması ve oligohidramniyozdur. Body stalk anomali ölümcül olarak kabul edilmektedir ve tedavi planının yapılabilmesi için diğer karın ön duvarı defektlerinden ayırt edilmelidir.
FULL TEXT (PDF): 
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  • 4
257-259
  • Turkish

REFERENCES

References: 

1. Van Allen MI, Curry C, Gallagher L. Limb body wall complex: I. Pathogenesis. Am J
Med Genet. 1987; 28:529-48.
2. Van Allen MI, Curry C, Walden CE et al. Limb-body wall complex: II. Limb and
spine defects. Am J Med Genet. 1987; 28:549-65.
3. Colpaert C, Bogers J, Hertveldt K et al.Limb-body wall complex: 4 new cases
illustrating the importance of examining placenta and umbilical cord. Pathol Res
Pract. 2000; 196:783-90.
4. Daskalakis G, Sebire NJ, Jurkovic D et al. Body stalk anomaly at 10-14 weeks of
gestation. Ultrasound Obstet Gynecol. 1997; 10:416-8.
5. Forrester MB, Merz RD. Epidemiology of abdominal wall defects, Hawaii, 1986-
1997. Teratology. 1999;60:117-23.
6. Miller ME, Graham JM Jr, Higginbottom MC et al. Compression-related defects from
early amnion rupture: evidence for mechanical teratogenesis. J Pediatr. 1981; 98:292-
7.
7. Streeter G. Focal deficiencies in fetal tissues and their relation to intrauterine
amputations. Contrib Embryol Carnegie Inst 1930; 22:1-44.
8. Paul C, Zosmer N, Jurkovic D, Nicolaides K. A case of body stalk anomaly at 10
weeks of gestation. Ultrasound Obstet Gynecol. 2001; 17:157-9.
9. Ginsberg NE, Cadkin A, Strom C. Prenatal diagnosis of body stalk anomaly in the
first trimester of pregnancy. Ultrasound Obstet Gynecol. 1997; 10:419-21.
10. Lockwood CJ, Scioscia AL, Hobbins JC. Congenital absence of the umbilical cord
resulting from maldevelopment of embryonic body folding. Am J Obstet Gynecol.
1986; 155:1049-51.
11. Smrcek JM, Germer U, Krokowski M et al. Prenatal ultrasound diagnosis and
management of body stalk anomaly: analysis of nine singleton and two multiple
pregnancies. Ultrasound Obstet Gynecol. 2003;21:322-8.
12. Solerte L. Three-dimensional multiplanar ultrasound in a limb-body wall complex
fetus: clinical evidence for counseling. J Matern Fetal Neonatal Med. 2006; 19:109-12.
13. Chan Y, Silverman N, Jackson L et al. Maternal uniparental disomy of chromosome
16 and body stalk anomaly. Am J Med Genet. 2000; 94:284-6.
14. Hirokawa S, Uotani H, Futatani T et al. A case of body stalk anomaly arising in the
second baby of a triplet pregnancy after in-vitro fertilization and embryo
transfer.Pediatr Surg Int. 2003; 19:223-5.
15. Kurosawa K, Imaizumi K, Masuno M et al. Epidemiology of limb-body wall complex
in Japan. Am J Med Genet. 1994; 51:143-6.
16. Kanamori Y, Hashizume K, Sugiyama M et al. Long-term survival of a baby with
body stalk anomaly: report of a case. Surg Today. 2007;37:30-3.

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