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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 179298, 3 pages
http://dx.doi.org/10.1155/2015/179298
Case Report

Diagnosis of Pentalogy of Cantrell in the First Trimester Using Transvaginal Sonography and Color Doppler

1Obstetrics and Gynecology Department, Bayindir Hospital, 06680 Ankara, Turkey
2Department of Perinatology, Zekai Tahir Burak Women’s Health Education and Research Hospital, 06230 Ankara, Turkey

Received 27 October 2014; Revised 8 February 2015; Accepted 8 February 2015

Academic Editor: Erich Cosmi

Copyright © 2015 Ayşe Figen Türkçapar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report the prenatal diagnosis of Cantrell syndrome in the first trimester. During a routine transabdominal ultrasonographic examination, a midline supraumbilical abdominal wall defect including herniated liver and ectopia cordis with a large omphalocele containing the intestines and cystic hygroma was incidentally identified at the 12th week of gestation. A transvaginal sonography examination revealed a severe lumbosacral scoliosis in addition to the inability to visualize the abdominal aorta which was indicative of a severe intracardiac defect. The parents opted for pregnancy to be terminated. In this case report, we discuss the complementary role of transvaginal sonography and Doppler imaging in the diagnosis of Cantrell syndrome in early pregnancy.