Chelli Dalenda, Dimassi Kaouther, Jallouli-Bouzguenda Souhir, Ebdellah Essia, Hermi Feten, Zouaoui Bechir, Sfar Ezzeddine, Kitova Tania, Chelli Hela, Channoufi Mohamed Badis, Gaigi Soumaya
Service A de gynécologie obstétrique, Centre de maternité et de néonatologie, la Rabta, Tunis.
Tunis Med. 2008 Feb;86(2):171-3.
Ectopia cordis is a rare and impressive malformation presenting as an isolated lesion or as part of the Cantrell's pentology syndrom. It is defined as an anomaly in which the fetal heart lies outside the thoracic cavity. THE AIM of the study is to report the prenatal diagnostic features and management of ectopia cordis.
We report a prenatal diagnosis case of ectopia cordis using two-dimensional ultrasound at 19 weeks of gestation. Multiple congenital anomalies were found. The most important one was the presence of a ventral thoracoabdominal wall defect with exstrophy of the heart, liver, stomach and intestines. Histopathological examination confirmed the ultrasound findings. Due to severity of the malformations, termination of pregnancy was made.
心脏异位是一种罕见且引人注目的畸形，可表现为孤立性病变或作为坎特雷尔五联征综合征的一部分。它被定义为胎儿心脏位于胸腔外的一种异常情况。本研究的目的是报告心脏异位的产前诊断特征及处理方法。
我们报告一例妊娠19周时使用二维超声进行心脏异位产前诊断的病例。发现了多种先天性畸形。其中最重要的是存在胸腹前壁缺损，伴有心脏、肝脏、胃和肠道外翻。组织病理学检查证实了超声检查结果。由于畸形严重，实施了终止妊娠。
