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Articles » Gastrointestinal anomalies, spleen & abdominal wall » Limb body stalk anomaly
2010-11-10-15 Body stalk anomaly © Sanchez
Body stalk anomaly

Marcos Antonio Velasco Sanchez, MD, Candelaria Conda Moreno, MD., Alberto Sosa Olavarria, MD., Andres Zurita Peralta, MD., Jonhy de la Cruz Vargas MD.

Hospital General Donato G Alarcon de Ciudad Renacimiento, S.S.A. Acapulco Guerrero, Mexico, Facultad de Medicina de la   U.A.G., Mexico.

Case report

This is a case of a 23-year-old G4P3 who came to our department for the routine ultrasound scan. She was at 23 weeks of her gestation and had non-contributive family or personal history.
The ultrasound examination found the following:

  • Large abdominal wall defect with herniation of the liver and heart
  • Severe spinal deformities, scoliosis
  • Clubfoot
  • Low set ears
  • Extremaly short umbilical cord with single umbilical artery
  • Enlarged amount of the amniotic fluid
  • Fetus fixed to the placenta

Our diagnosis based on the ultrasound examination was a Body stalk anomaly. The clinical examination after delivery confirmed our diagnosis. There was a large abdominal defect with visceral organs herniating outside of the abdominal cavity, adhering to the placenta. The neonate died shortly after delivery.

Images 1,2: Images show severely distorted spine.

Image 3,4: Abdominal wall defect with herniated visceral organs, adhering to the placenta.

Images 5,6: Image 5 shows upper extremity with abnormal position of the hand. Image 6 shows herniated visceral organs adhering to the placenta.

Images 7,8: Extremely short umbilical cord.

Videos 1,2
: Doppler imaging showing the short umbilical cord and herniated bowel and liver.

Videos 3,4: Herniated visceral organs with bowel adhering to the placenta.

Images 9 - 12: Images of the baby. Note large abdominal wall defect with eviscerated organs and malformed lower extremities, severely distorted spine.

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