Hernández Castro Flavio, Cortés Flores Raúl, Ochoa Torres Mauro Alberto, Hernández Herrera Ricardo J, Luna García Sergio
Unidad de Medicina Materno-fetal del Noreste, Unidad de Medicina de Alta Especialidad núm. 23, IMSS, Monterrey, NL.
Ginecol Obstet Mex. 2006 Oct;74(10):546-50.
The pentalogy of Cantrell is a rare congenital syndrome characterized by deficiency of the anterior diaphragm and defects of abdominal wall, the pericardium, the lower sternum, as well as congenital intracardiac abnormalities. It has usually a poor prognosis, but most cases have had incomplete variants of this syndrome, so it is important to make a prenatal diagnosis to determine the size of the wall defect and to establish a multidisciplinary management. Less than 90 cases have been reported in the world literature. There are no casuistic or even treatment criteria in Latin America. A case of a newborn in whom was suspected this pentalogy associated to bilateral cleft lip by an ultrasound examination at 25 week of gestation is described. We also comment on diagnostic aspects, as well as anatomopathological, therapeutic, and prognostic characteristics.
坎特雷尔五联症是一种罕见的先天性综合征,其特征为前膈膜缺损、腹壁、心包、下胸骨缺陷以及先天性心脏内异常。其预后通常较差,但大多数病例为此综合征的不完全变体,因此进行产前诊断以确定腹壁缺损大小并建立多学科管理很重要。世界文献报道的病例不足90例。拉丁美洲尚无病例报道,甚至没有治疗标准。本文描述了一例在妊娠25周时通过超声检查怀疑患有此五联症并伴有双侧唇裂的新生儿病例。我们还对诊断方面以及解剖病理学、治疗和预后特征进行了评论。