PMC6074926_01
A 2D ultrasound scan taken at 31 weeks of gestation showing the extruded part of the bowel (arrow).
asm-1-75f1.jpg
PMC6074926_01_asm-1-75f1.jpg
f1-asm-1-75
Further two-dimensional (2D) and 3D US studies (Figures 1 and 2) conducted at 31 weeks of gestation showed multiple congenital anomalies: [1] There was a defect in the supraumbilical abdominal wall, specifically, an omphalocele containing the liver and bowel; [2] the heart and mediastinum were displaced due to a defect in the diaphragm; [3] the fetal heart was completely outside the chest wall because of a large midsternal defect; [4] large ventricular and atrial septal defects were found; and [5] an anterior diaphragmatic hernia and lower sternal defect were noted, although the femoral length corresponded with the fetal age.
The infant on delivery. The extruded organs, namely, the heart (flat short arrow), liver (flat long arrow), and bowel (filled long arrow), can be seen through the abdominal defect, along with the clubbed left hand with syndactyly (filled short arrow).
asm-1-75f2.jpg
PMC6074926_01_asm-1-75f2.jpg
f2-asm-1-75
Further two-dimensional (2D) and 3D US studies (Figures 1 and 2) conducted at 31 weeks of gestation showed multiple congenital anomalies: [1] There was a defect in the supraumbilical abdominal wall, specifically, an omphalocele containing the liver and bowel; [2] the heart and mediastinum were displaced due to a defect in the diaphragm; [3] the fetal heart was completely outside the chest wall because of a large midsternal defect; [4] large ventricular and atrial septal defects were found; and [5] an anterior diaphragmatic hernia and lower sternal defect were noted, although the femoral length corresponded with the fetal age.