Document Detail


Prenatal ultrasound diagnosis of poland syndrome.
MedLine Citation:
PMID:  15516435     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Poland syndrome is a congenital nongenetic anomaly characterized by unilateral chest wall hypoplasia, ipsilateral hand abnormalities, and hemivertebrae. It has not ben described so far in the fetus. CASE: The patient was referred for suspected left-arm hypomelia at 22 weeks of gestation. On ultrasonography, we confirmed the presence of severe left-sided hypomelia and detected an asymmetry of the rib cage and 3 thoracic hemivertebrae. The absence of heart defects led us to make the putative diagnosis of Poland syndrome. After termination of pregnancy, the diagnosis was confirmed by the pathologist. CONCLUSION: The possibility of diagnosing Poland syndrome in utero is important for proper management and counseling. If the syndrome is suspected in a fetus, counselors may refer to specific postnatal data to provide the couple with survival rates, treatment options, and results and morbidity figures. If the pregnancy is terminated, a detailed necropsy is warranted to confirm the diagnosis because familial transmission has been reported.
Authors:
Dario Paladini; Maria Rosaria D'Armiento; Pasquale Martinelli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  104     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-01     Completed Date:  2005-01-04     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1156-9     Citation Subset:  AIM; IM    
Affiliation:
Fetal Cardiology Unit, Department of Gynecology and Obstetrics, University Federico II of Naples, Italy. paladini@unina.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Autopsy
Female
Fetal Death
Fetal Diseases / ultrasonography
Genetic Counseling
Gestational Age
Humans
Poland Syndrome / ultrasonography*
Pregnancy
Risk Assessment
Ultrasonography, Prenatal*

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