CRL:5.0Cm-> 11w5d size NT: 1.8mm head: normal appearance heart: 4CV, 3VS(+) TCD: 0.64Cm, CTAR: 0.4/ 0.7 stomach: 0.7 x 0.4; 0.4 x 0.3 cM sized echoic foci bladder: (-) heart 가 있는 chest 와 stomach 이 있 는 복부가 나뉘어져 보입니다. 복부 size: 2.3 x 1.6Cm bowel herniated appearance( 1.0 x 0.7CM) herniated side: not detected spine: severe extention position both upper extremity, include, both hand: Ok both lower extremity: caudal dysplasia flexion 상태에서 큰 movement 관찰 안됨 both foot: valgus position fibrous band within sac avascular Imp: Single preg sized 12w6d R/O amniotic band syd. R/O gastroschisis R/O VACTERL syn. sign: 권혜영 / staff. 김석영
GROSS : 태반의 크기는 5.0x4.0x1.5cm, 무게는 24.0gm 이었다. 양막은 회백색으로 반투명하였다. 탯줄은 길이 5.0cm, 외직경 0.5cm 이었고, 단면상 2 개의 혈관이 관찰되었다. 태아의 무게는 16.0gm 이었고, crown-rump length 는 4.0cm, head circumference 는 7.0cm, femur length 는 1.5cm 이었다. Skin 은 다소 어두운 회갈색을 띄었고 두경부에 외관상 기형은 없었다. 흉부와 흉강내 장기에 육안상 특이소견 없었다. Scoliosis 가 관찰되었고, abdomen 은 collapse 되어 있었다. 우측 신장이 신체 외부로 돌출되어 있었고, intestine 은 따로 떨어져 분리되어 있었다. 좌측 신장은 관찰되지 않았다. Anal opening 은 관찰되지 않았다. 좌측 하지는 대퇴부만 부착되어 있었고, 하퇴부는 따로 떨어져 있었다. DIAGNOSIS : Placenta; Single umbilical artery Fetus, 12+3weeks of gestation, removal ; - Gastroschisis - Unilateral (left) renal agenesis - Anal agenesis
Amniotic bands 1 in 1200 (0.08%) of all pregnancies They are fibrous strands of membrane stretching from the outer membrane surface into the amniotic cavity. They are thought to originate when the inner membranes (amnion) rupture without injury to the outer membrane (chorion). The ruptured amnion remains as a plaque or fragments into bands which stretch across the chorionic cavity. Amniotic bands are thought to happen spontaneously or in association with trauma to the abdomen. There has been the suggestion of a relationship between amniotic bands, limb shortening and early chorion villous sampling (CVS).
Amniotic sheet most common with an incidence of 0.6%. They are thought to be caused by scarring inside the womb or 'senechiae' from previous operations, such as D&C. As the membranes develop, they surround these sheets of scar tissue. Often they aren't seen until later on in pregnancy, presumably following rupture or compression by the growing baby.rupture Amniotic sheets have been found to be associated with an increased risk of early labour.
body-stalk anomaly This lethal, sporadic abnormality, characterized by the presence of a major abdominal wall defect, severe kyphoscoliosis and a rudimentary umbilical cord about 1 in 15,000. The pathogenesis is uncertain Early amnion rupture with amniotic band syndrome
VACTERL syn. Definition: V (vertebral anomalies) A (anal atresia) C (cardiac anomalies) TE (tracheoesophageal fistula or esophageal atresia) R (renal/urinary anomalies) L (limb defect). The most frequent defects -> tracheoesophageal fistula and anal or vertebral anomalies. Incidence: Uncommon. Etiology: sporadic event, a high frequency among offspring of diabetic mothers has been observed.. Recurrence risk: Varies from 1% to 50%