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Body Stalk Anomaly
Nicolae Gică1,2, Livia Mihaela Apostol2, Iulia Huluță1,2
1Gynecology Department, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Insights
Body stalk anomaly is a rare and severe congenital defect incompatible with life. Early diagnosis during the first trimester is crucial for informed prenatal care decisions.
Area of Science:
- Embryology
- Medical Genetics
- Prenatal Diagnosis
Background:
- Abdominal wall defects (AWDs) include gastroschisis, omphalocele, and body stalk anomaly (BSA).
- BSA is the most severe form, characterized by significant abdominal defects, limb and spinal anomalies, and a short or absent umbilical cord.
- Potential causes involve early amnion rupture, vascular disruptions, or abnormal embryonic folding.
Purpose of the Study:
- To present a case of a rare body stalk anomaly diagnosed in the first trimester.
- To highlight the importance of early identification and understanding the clinical implications of BSA.
Main Methods:
- Case report of a rare congenital anomaly.
- First-trimester prenatal diagnosis.
- Anatomopathological examination for confirmation.
Main Results:
- Diagnosis of body stalk anomaly established in the first trimester.
- Patient opted for pregnancy termination.
- Anatomopathological findings confirmed the diagnosis.
Conclusions:
- Body stalk anomaly is a rare, severe congenital defect incompatible with life.
- Early prenatal diagnosis is essential for informed decision-making in pregnancy management.
- Understanding the clinical spectrum of abdominal wall defects is critical for prenatal care.
Abstract:
Abdominal wall defects encompass three primary classifications: gastroschisis, omphalocele and anomalies resembling body stalk. Potential causative factors include early amnion rupture, amniotic bands, vascular disruptions or abnormal folding of the embryo. The prevalence of these defects stands at 1 in 14,000 live births. Body stalk anomaly is characterized by a substantial abdominal defect coupled with spine and limb anomalies, along with a very short or absent umbilical cord. We present a case of a rare abdominal defect known as body stalk anomaly, the most severe form of this spectrum of diseases. The diagnosis of this anomaly was established during the first trimester of pregnancy. Subsequently, the patient opted for pregnancy termination and chose not to undergo genetic testing. The anatomo-pathological results confirmed the findings. Body stalk anomaly is not compatible with life; therefore, early identification and understanding the clinical implications of this rare anomaly for informed decision-making in prenatal care are very important.
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