Pentalogy of Cantrell

Luis Augusto Montañez, MD

Agua Prieta, Sonora, Mexico.

Case report

A 28-year-old patient (G3P1) presented at 33 weeks of gestation for the first ultrasound scan during this current pregnancy. We have seen ectopia cordis, large omphalocele with herniated liver. The diagnosis based on the the ultrasound findings was Pentalogy of Cantrell. Patient delivered via cesarean section at 35 weeks of gestation. The baby died after delivery.

Images 1,2: Image1  shows a  coronal view of the fetus, there is an ectopic heart (note arrow) and herniated liver below it. Image 2 shows the ectopic heart and herniated liver.

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Images 3,4: Images show a herniated liver and heart.

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Images 5,6: Image 5 shows a transverse view of the abdomen at the leval of stomach, note the anterior wall defect indicated by arrow. Image 6 shows omphalocele.

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Images 7,8: Images show fetal heart located outside of the thoracic cavity.

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ECTOPIA-CORDIS_8

Images 9,10: 3D-images with the anterior wall defect.

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Video 1,2,3: Videos showing anterior wall defect with ectopic heart and omphalocele.

Image 11: Image of the neonate after delivery.

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Video 4: Neonate after delivery.

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