Limb body wall complex, 15 weeks of gestation

Fabrice Cuillier, MD*, L Lagarde, MD**

* Department of Gynecology, Felix Guyon Hospital, 97400 Saint- Denis, Reunion Islands, France; tel.: 0262 90 55 22; fax: 0262 90 77 30;
** Departement of Obstetrics, Gabriel Martin Hospital, 97400, Saint-Paul, Reunion Island, France.

Case report

A 25-year-old woman was referred to our department at 15th week of gestation. The ultrasonography showed a live fetus with an inferior abdominal wall defect measuring 20x20 mm, protruding from the anterior abdominal wall. The urinary bladder was not seen. Lower limbs were malpositioned.

After genetic counseling parents opted for termination of the pregnancy. On pathological specimens a midline spherical mass containing liver and bowel was protruding from the anterior abdominal wall and deformities of the lower limbs and pelvis. An autopsy confirmed the diagnosis of the limb body wall complex without craniofacial defect. The karyotype was normal (46, XX).

Images 1A, 1B: 15 weeks of pregnancy; 2D ultrasonography showing an abdominal wall defect.


Images 2A, 2B: Post abortion pathological specimen - left; and radiogram (right).


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