Peixoto-Filho Fernando Maia, do Cima Luciana Carneiro, Nakamura-Pereira Marcos
Fetal Medicine Unit, Department of Obstetrics, Fernandes Figueira Institute, Oswaldo Cruz Foundation (IFF-FIOCRUZ), Avenida Rui Barbosa 716, 3 degrees Andar, Flamengo, Rio de Janeiro, Brazil.
J Clin Ultrasound. 2009 Feb;37(2):112-4. doi: 10.1002/jcu.20498.
We report the prenatal diagnosis of 2 cases of Pentalogy of Cantrell in the first trimester. In case 1, sonographic evaluation revealed ectopia cordis, omphalocele, and cystic hygroma at 10 weeks' gestation. In case 2, sonographic assessment during the first trimester detected ectopia cordis and omphalocele at 11 weeks' gestation. In both cases, the patient opted for elective pregnancy termination, and Pentalogy of Cantrell was confirmed in 2 male fetuses. We discuss the role of Doppler imaging and 3-dimensional sonography as complementary methods to conventional sonographic assessment of abdominal wall defects at early pregnancy.
我们报告了2例孕早期坎特雷尔五联症的产前诊断病例。病例1中,超声评估显示在妊娠10周时存在心脏异位、脐膨出和囊状水瘤。病例2中,孕早期超声检查在妊娠11周时发现心脏异位和脐膨出。在这两个病例中,患者均选择了选择性终止妊娠,2例男性胎儿均确诊为坎特雷尔五联症。我们讨论了多普勒成像和三维超声作为早期妊娠腹壁缺陷传统超声评估补充方法的作用。