Document Detail


Two rare cases of the Pentalogy of Cantrell or its variants.
MedLine Citation:
PMID:  15515484     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Pentalogy of Cantrell (PC) is a rare association of defects involving the lower sternum, abdominal wall, diaphragm, pericardium and heart. We report two rare cases of the PC (variant form), showing fatal progression. Case 1 only survived two hours because of severe cardio-respiratory failure. Physical examination showed midline abdominal and thoracic defects, ectopic heart, pericardial defect, diaphragmatic defect, bilateral undescended testis, scoliosis, and adherence between left upper limb and trunk. In addition, the autopsy revealed diaphragmatic agenesia, intraabdominal testis, bilateral lung hypoplasia and lymphocytic meningitis. Case 2 only survived 15 minutes. In addition to the physical findings, including lower sternal defect, ectopic heart, epigastric omphalocele and scoliosis, the autopsy showed left diaphragmatic agenesia, pericardial agenesia, bilateral lung hypoplasia, deformed rib cage, anterior thoracic myeloschisis, adreno-hepatic fusion, left renal agenesia, meckel diverticulum and multiple accessory spleens. When comparing with other cases of PC, the concurrence of bilateral intraabdominal testis and lymphocytic meningitis in case 1, and adreno-hepatic fusion, anterior myeloschisis, meckel diverticulum, multiple accessory spleens, and renal agenesia in case 2 have not been described previously.
Authors:
Adnan Aslan; Güngör Karagüzel; Ilke Unal; Nazif Aksoy; Mustafa Melikoglu
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta medica Austriaca     Volume:  31     ISSN:  0303-8173     ISO Abbreviation:  Acta Med. Austriaca     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-11-01     Completed Date:  2004-12-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7501997     Medline TA:  Acta Med Austriaca     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  85-7     Citation Subset:  IM    
Affiliation:
Department of Pediatric Surgery, Akdeniz University School of Medicine, Antalya, Turkey, adnanaslan@akdeniz.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Abdominal Muscles / abnormalities*
Abnormalities, Multiple / pathology*
Autopsy
Cesarean Section
Diaphragm / abnormalities*
Female
Gestational Age
Heart Defects, Congenital / pathology*
Humans
Infant, Newborn
Infant, Premature
Male
Pregnancy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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