Document Detail


Sirenomelia with oligodactylia: early ultrasonographic and hysteroscopic embryoscopic diagnosis during the first trimester of gestation.
MedLine Citation:
PMID:  20501973     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The case we describe reports the early sonographic findings of sirenomelia with oligodactylia at 9 weeks of gestation by transvaginal two-dimensional color Doppler ultrasonography imaging and its confirmation by hysteroscopic embryoscopy at 12 weeks to further characterize the findings. The embryo showed increased nuchal translucency and fused lower limbs with a large intra-abdominal vessel and two-vessel umbilical cords. The pregnancy was terminated by medical abortion induction after the patient viewed the embryoscopic images. Diagnosis is commonly made later in the second trimester of pregnancy, oligohydramnios being a warning signal, which usually makes the diagnosis difficult. Survival, only possible in the absence of renal agenesis, is extremely rare. In view of the extremely poor prognosis, early diagnosis allows for earlier counseling and less traumatic therapeutic termination of pregnancy.
Authors:
Claudia Maria Clemente; Marco Farina; Antonio Cianci; Marco Iraci Sareri
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-05-26
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  28     ISSN:  1421-9964     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-09     Completed Date:  2010-12-03     Revised Date:  2011-03-22    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  43-5     Citation Subset:  IM    
Copyright Information:
Copyright 2010 S. Karger AG, Basel.
Affiliation:
Azienda Ospedaliera-Universitaria Policlinico-Vittorio Emanuele, Dipartimento di Ginecologa e Ostetricia, University of Catania, Catania, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Ectromelia / pathology,  ultrasonography*
Female
Humans
Hysteroscopy
Ultrasonography, Prenatal

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