Zeynep Kamil Med J. 2013; 44(4): 208-210

Body Stalk Anomalisi: Olgu Sunumu

Mesut Polat, Resul Arýsoy, Emre Erdoðdu, Özgür Aydýn Tosun, Resul Karakuþ, Oya Pekin, Ahmet Semih Tuðrul
Zeynep Kamil Gynecology and Child Diseases Training and Research Hospital Perinatology Clinic

Body stalk anomaly is a rare fatal anomaly characterized by abdominal wall defects, scoliosis, short or absence of umblical cord. We reported a case of body stalk anomaly who were diagnosed prenatally. 28 year old case was referred to our hospital with a diagnosis of congenital anomaly. Ultrasonographic examination revealed a fetus, 16 weeks of gestation, with large abdominal wall defect (including liver, gallbladder, stomach, intestine and bladder), thoracolomber kifoscoliosis, short umblical cord with single artery. Pregnancy was terminated with the diagnosis of body stalk anomaly. Termination of the pregnancy should be considered in the management of this lethal anomaly. The differentional diagnosis and early prenatal diagnosis is important in the management of the other abdominal wall defects.

Keywords: Body stalk anomaly, prenatal diagnosis, ultrasonography

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Body Stalk Anomalisi: Olgu Sunumu

Mesut Polat, Resul Arýsoy, Emre Erdoðdu, Özgür Aydýn Tosun, Resul Karakuþ, Oya Pekin, Ahmet Semih Tuðrul
Zeynep Kamil Kadýn ve Çocuk Hastalýklarý Eðitim Araþtýrma Hastanesi Perinatoloji Kliniði

Body stalk” anomalisi, karýn ön duvar defekti, skolyoz, kýsa göbek kordonu veya yokluðu ile karakterize nadir görülen fatal bir anomalidir. Burada ultrasonografik tanýsý konulmuþ body stalk anomalili olgu sunuldu. Yirmi sekiz yaþýndaki gebe, antenatal kongenital anomali ön tanýsý ile hastanemize refere edilmiþtir. Ultrason ile incelemede batýn ön duvarýnda geniþ defekt (defekt içerisinde karaciðer, safra kesesi, mide, barsaklar ve mesane görüldü), torakolumbal kifoskolyoz, tek arter tek ven içeren kýsa umblikal kordon gibi konjenital anomalilere sahip 16 haftalýk fetus gözlendi ve body stalk anomalisi tanýsý konuldu. Terapötik tahliye yapýldý. Body stalk anomalisi hayatla baðdaþmadýðýndan gebeliðin sonlandýrýlmasý düþünülmelidir. Diðer anterior duvar defektlerinden ayýrýcý tanýsý ve erken prenatal tanýsý tedavi planýnýn belirlenmesi açýsýndan önemlidir.

Anahtar Kelimeler: Body stalk anomalisi, prenatal taný, ultrasonografi

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