Hospital Geeneral de la S.S.A. Acapulco, Guerrero, Mexico. I.M.D.I. Aacapulco,Mexico. Facultad de Medicina, Divison de Posgrado de la Universidad Autonoma de Guerrero, Mexico.

Case report

A 17-year-old cocaine addicted woman (G1P0) presented at 14th week of pregnancy for a routine ultrasound investigation. A large ventral wall defect with ectopia cordis and eventrated abdominal content was found. The findings were consistent with the pentalogy of Cantrell. Micrognathia and nuchal edema were also present.

Images 1, 2: 14th week of pregnancy. Sagittal scans of the fetus with a large abdominal wall defect and ectopia cordis.

Images 3, 4: 14th week of pregnancy. Color Doppler transverse images through the fetal abdomen and thorax showing ectopic heart of the fetus and eventrated abdominal content.

Images 5, 6: 14th week of pregnancy. Color Doppler image showing ectopic heart of the fetus.

Images 7, 8: 14th week of pregnancy. Transverse scan of the fetal head and nuchal region with thickened nuchal translucency [one image no longer available].

Images 9, 10: 14th week of pregnancy. 3D images of the fetus with ectopic heart.