Y Shibata, K Terada, M Igarashi, S Suzuki
Lecturer, Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital , Tokyo 124-0012, Japan .
Resident, Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital , Tokyo 124-0012, Japan .
J Clin Diagn Res. 2014 May;8(5):OD06-7. doi: 10.7860/JCDR/2014/7979.4348. Epub 2014 May 15.
The most serious conditions seen in body stalk anomaly may be the cases which are complicated by ectopia cordis, which is characterized by the abnormal location of the heart outside the thorax. We encountered four cases of body stalk anomaly, which were complicated by ectopia cordis, which were diagnosed in the first trimesters of pregnancy. In three of these cases, ultrasound scans revealed foetuses with large anterior abdominal wall defects, with their hearts extending outside their thoracic cavities. Their mothers, along with their husbands opted for termination of their pregnancies. In 1 other case, an ultrasound scan revealed a dead foetus, with gastroschisis. Based on the current cases, we suggest that the diagnosis of ectopia cordis caused by body stalk anomaly can be made during the first trimester of pregnancy.
体蒂异常中最严重的情况可能是合并心脏异位的病例，其特征是心脏位于胸腔外的异常位置。我们遇到了4例合并心脏异位的体蒂异常病例，这些病例在妊娠早期被诊断出来。在其中3例中，超声扫描显示胎儿有巨大的前腹壁缺损，心脏延伸到胸腔外。她们的母亲及其丈夫选择终止妊娠。在另1例中，超声扫描显示为死胎，伴有腹裂。基于目前的病例，我们建议在妊娠早期即可诊断体蒂异常所致的心脏异位。
