University of North Carolina

The patient was referred to our unit for evaluation of possible cystic hygroma seen on outside examination.  Scan in our unit reveals a 20+ week gestation with coexisting amniotic band syndrome.  All abnormalities were cranial, including encephalocele and clefts of the lip, palate, and forehead. The patient elected to continue the pregnancy.

Figures 1 and 2 display the bands.

Figure 3 displays the midline cleft

Figure 4 demonstrates the cleft lip and palate.

Figure 5 presents the coronal view of the head with crown encephalocele.

Figure 6 demonstrates the cleft that extends from the upper lip through the forehead.