Sonographic Diagnosis of Exencephaly: Omphalocele at 11 Weeks of Gestation

This report presents a sonographic diagnosis of exencephaly combined with omphalocele at 11 weeks of gestation. The transvaginal ultrasound showed frog‐eye appearance face with no skull, abnormal shape of disorganized brain with covering membrane separated from brain mass by anechoic fluid in some a...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2000-10, Vol.26 (5), p.363-366
Main Authors: Chanprapaph, Pharuhas, Tongsong, Theera, Wongtra-ngan, Supreeya
Format: Article
Language:English
Subjects:
Abortion, Therapeutic
Adult
exencephaly
Female
Fetal Diseases - diagnostic imaging
first-trimester
Gestational Age
Hernia, Umbilical - complications
Hernia, Umbilical - diagnostic imaging
Humans
Neural Tube Defects - complications
Neural Tube Defects - diagnostic imaging
omphalocele
Pregnancy
Pregnancy Trimester, First
Ultrasonography, Prenatal
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Summary:This report presents a sonographic diagnosis of exencephaly combined with omphalocele at 11 weeks of gestation. The transvaginal ultrasound showed frog‐eye appearance face with no skull, abnormal shape of disorganized brain with covering membrane separated from brain mass by anechoic fluid in some area, and omphalocele of 8 mm diameter. Therapeutic abortion was successfully done with misoprostol. Postabortal macroscopic findings confirmed the prenatal diagnosis. The combination of exencephaly and omphalocele is rare, and this is one of the earliest diagnosis of not only exencephaly but also omphalocele. To our best knowledge, this represents the earliest diagnosis of the combination. In conclusion, transvaginal ultrasound proved highly informative for both exencephaly and omphalocele as early as in first trimester.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2000.tb01340.x