International Journal of Clinical Case Reports 2017, Vol.7, No.16, 67-72
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Figure 3
Omphalocele giant with severe micromelia
1.3 Observatin 3
A 39-year-old woman, second gesture, nulliparous and having one early miscarriage with no notable pathological
history, pregnant at 15 weeks of amenorrhea, consulted for prenatal follow-up. The obstetrical examination was
normal. Ultrasonography had shown an evolutionary monopetalous pregnancy whose biometry is conform to the
term with a well-defined rounded formation with echogenic content located in front of the abdomen, as well as
cysts of the choroid plexus, clawed hands, and the fetus was totally akinetic (Figure 4).
Figure 4 C
ross section of the abdomen showing a well-defined echogenic formation sitting at the base of the umbilicus
Biology and serology were normal. An amniocentesis was practiced at 16 weeks of amenorrhea and concluded to
a trisomy 18. An interruption of pregnancy had been practiced. The fœtopathological examination concluded it to
be a male fetus with a poly malformative syndrome (Figure 5).
