Yaprak Engin ÜSTÜN, Yusuf ÜSTÜN, İlgın TÜRKÇÜOĞLU, Ayşe KAFKASLI, Zercan KALI

Body Stalk Anomalinin Prenatal Tanısı: Vaka Takdimi

“Body Stalk Anomali” geniş karın ön duvarı defekti, ciddi kifoskolyoz ve rudimenter umblikal kord ile karakterize, nadir görülen gelişimsel bir anomalidir. Genellikle baş, yüz ve ekstremite anomalileri eşlik eder. Sıklıkla gebeliğin ikinci trimesterinde, gestasyonel yaş tayini ya da artmış maternal serum alfa-fetoprotein araştırması esnasında ultrasonografi ile tanı koyulur. Yazımızda gebeliğin 23. haftasında, ilk vizitte ultrasonografi ile tesadüfen tanı koyulmuş body stalk anomalisi vakası sunulmaktadır. Vakanın ultrasonografik bulguları fetusta karın ön duvarında ciddi orta hat defekti ve içerisinde karaciğer ve barsak bulunan abdomen dışında geniş kitle, ciddi skolyoz, clubfoot, idrar torbasının olmaması ve oligohidramniyozdur. Body stalk anomali ölümcül olarak kabul edilmektedir ve tedavi planının yapılabilmesi için diğer karın ön duvarı defektlerinden ayırt edilmelidir. Anahtar kelimeler: Body stalk anomali, prenatal tanı.

Anahtar Kelimeler:

Body stalk anomali, prenatal tanı.

Prenatal Diagnosis of Body Stalk Anomaly: A Case Report+

Body stalk anomaly is a rare developmental anomaly characterized by an enlarged abdominal wall defect, severe kyphoscoliosis and a rudimentary umbilical cord. It is often complicated by anomalies of head, face and extremities. It is diagnosed by ultrasonography, mostly in the second trimester of pregnancy during gestational age dating or evaluation of an elevated maternal serum α-fetoprotein. We present a case of body stalk anomaly at 23 weeks of gestation, diagnosed incidentally during sonographic evaluation in the first visit. Sonographic features of the fetus were severe midline defect of the fetal abdominal wall and a large extra-abdominal mass containing bowel and liver inside, severe scoliosis, clubfoot, absent urinary bladder and oligohydramnios. Body stalk anomaly is accepted as a fatal anomaly, so it's important to differentiate it from other anterior wall defects for evaluating the management options. Key words: Body stalk anomaly, prenatal diagnosis

Keywords:

Body stalk anomaly, prenatal diagnosis,

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Yrd.Doç.Dr.Ilgın TÜRKÇÜOĞLU
İnönü University School of Medicine
Department of Obstetrics and Gynecology, Malatya, Turkey. Fax : 422 341 0728
Tel : 422 341 0660-4705
E-Posta : dr.ilgin@yahoo.com