Pentalogy of Cantrell

Erik Dosedla, MD*; Dusan Fric, MD*; Pavel Calda, MD**

*   III. Clinic of Gynecology and Obstetrics, Slovak Medical University, 1st Private Hospital Kosice-Saca a.s., Lucna 57 04015 Kosice-Saca, Slovak Republic;
**  Department of Obstetrics and Gynecology, First Medical School, Charles University, Prague, Czech Republic.

Case report

The following images and video show a case of the pentalogy of Cantrell. The patient was seen for the first time at 29 weeks of her pregnancy. Her previous exams were done abroad and were reported to be normal. Our scan revealed a few anomalies of the fetus including large omphalocele, allantoid cyst of the umbilical cord, polyhydramnios, mild hydrocephalus, and meningomyelocele. The pregnancy was terminated by a cesarean section at 35 weeks of pregnancy because of marked polyhydramnios. The newborn died shortly after delivery and the postnatal examination additionally discovered defect of the lower sternum, anterior diaphragm and diaphragmatic pericardium. The diagnosis of the pentalogy of Cantrell was postulated.

Images 1, 2: The images show the omphalocele of the fetus and polyhydramnios.


Images 3, 4: The image 3 shows mild hydrocephalus of the fetus. The image 4 show the allantoid cyst of the umbilical cord.


Video 1: The video shows the large omphalocele the fetus which turned out to be a part of the pentalogy of Cantrell.

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