Body stalk anomaly: Management of two dichorionic–diamniotic pregnancies

Spiller, E.; Salvador, Laura; Bogana, G.; Neri, Francesca; Ambrosini, Guido; Cosmi, Erich; D’Antona, Donato

doi:10.1080/14767050802213941

Cited by 7 publications

(5 citation statements)

References 7 publications

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“…The abdominal-placental attachment was easily recognized in the first trimester as compared to later in pregnancy. Some authors have reported that in cases of BSA, the umbilical cord is very short [1,3,8]. In our cases, a free-floating umbilical cord could not be demonstrated, but umbilical vessels were seen with color Doppler running from the placenta to the fetus, marginal to the eviscerated abdominal content.…”

Section: Discussionmentioning

confidence: 65%

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Ultrasound Features and Management of Body Stalk Anomaly

Panaitescu

Ushakov²,

Kalaskar³

et al. 2016

Fetal Diagn Ther

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Objectives: This study describes the prenatal diagnosis of body stalk anomaly (BSA) in a large series of affected pregnancies and proposes an algorithm for the differential diagnosis of abdominal wall defects in the first trimester. Methods: This was a retrospective study of all the cases of BSA diagnosed in our tertiary unit between 2009 and 2015. In all cases, we performed a detailed ultrasound examination with particular emphasis on the appearance of the amniotic membrane and content of the amniotic sac and the coelomic cavity. Results: The study included 17 cases of BSA (15 singleton pregnancies, one dichorionic-diamniotic twin pregnancy discordant for BSA and one case of conjoined twins) at a median gestational age of 12⁺³ (range 11⁺⁰ to 16⁺⁶) weeks. In all cases, the liver and bowel were herniated into the coelomic cavity and the amniotic sac was intact containing the rest of the fetus with a normal amount of amniotic fluid; additionally, there was severe kyphoscoliosis and positional abnormalities of the lower limbs. The umbilical cord was absent, but umbilical vessels were seen with color Doppler running from the placenta to the fetus marginally to the eviscerated abdominal content. Conclusion: BSA can be easily diagnosed from 11 weeks' gestation. Examination of the amniotic membrane continuity, content of both the amniotic sac and coelomic cavity and a short umbilical cord help in differentiating this condition from other abdominal wall defects.

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Section: Discussionmentioning

confidence: 65%

“…In our series, there were two cases of BSA in twin pregnancies. BSA has been reported to occur more frequently in both dizygotic [3,8] and monozygotic twins than in singleton pregnancies and that monozygotic twins can be concordant [9] or discordant for BSA [10,11,12]. Diagnosis of BSA in conjoined twins has not been reported before.…”

Section: Discussionmentioning

confidence: 95%

Ultrasound Features and Management of Body Stalk Anomaly

Panaitescu

Ushakov²,

Kalaskar³

et al. 2016

Fetal Diagn Ther

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“…Many authors have reported body stalk anomaly in twin pregnancies: Mann and Ferguson‐Smith [1984] found one pair of twins among 10 cases; Mastroiacovo et al [1992] noted two twin sets among 40 affected pregnancies, while Russo et al [1993] observed one pair of concordant monozygotic twins in eight cases, Craven et al [1997] had one discordant twin pair in five cases, Martinez‐Frias et al [2000] recorded one twin pair among nine cases (11%), and Smrcek et al [2003] found two discordant pairs in 11 cases. Finally there have been a remarkable number of case reports of twins, both concordant and discordant, monozygotic and dizygotics, with the anomaly [Khudr and Benirschke, 1972; Herva and Karkinen‐Jääskeläinen, 1984; Hiett et al, 1992; Glasser et al, 1993; Shih et al, 1996; Daskalakis and Nicolaides, 2002; Kähler et al, 2003; Vidaeff et al, 2005; Cordero et al, 2006; Hrgovic et al, 2007; Spiller et al, 2008]. The high incidence of twin pregnancies among those resulting in body stalk anomaly is in contrast to the more common abdominal wall defects of gastroschisis and omphalocele, where the rate of twins gestation does not differ from that in the general population [Bugge et al, 1994; Bugge, 2010].…”

Section: Resultsmentioning

confidence: 99%

Body stalk anomaly in Denmark during 20 years (1970–1989)

Bugge

2012

American J of Med Genetics Pt A

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Body stalk anomaly is a severe defect of the abdominal wall with uncovered thoracic and/or abdominal organs. The umbilical cord is absent or very short. Here I present epidemiological and clinical data on 16 infants with body stalk anomaly. The 16 infants represent 3.4% of the 469 infants ascertained in an almost complete nationwide data set of live- and stillborn infants born with abdominal wall defects during the two decades 1970-1989 in Denmark. The prevalence was 0.12 per 10,000 live- and stillborn. Nine of the infants were stillbirths, seven were live births, and they all died shortly after birth. The gestational age at birth varied from 33 to 40 weeks. There was an excess of males M/F ratio: 2.2 (CI: 0.85-10.71). All infants had severe associated malformations. Among the most severe were: severe limb reduction defects (56%), absence of one kidney associated with malformations of genitalia and/or urinary bladder (62%), scoliosis (82%), and anal atresia (57%). A normal karyotype was found in all eight of the infants who were tested. There were two sets of twins; one discordant and one concordant. Mean maternal and paternal ages were 28.5 and 29.5 years, respectively, not significantly different from the mean parental ages of the Danish population during the same period.

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“…El SBS consiste en una condición rara y letal, caracterizada por un defecto extenso de la pared abdominal, cifoescoliosis, cordón umbilical rudimentario corto y deformidades de las extremidades (13). El diagnóstico se basa en los criterios descritos por Van Allen et al, en el que deben coexistir 2 de las 3 anomalías planteadas: Exencefalia o encefalocele con hendiduras faciales, toraco y/o abdominosquisis, y defectos en las extremidades (14), características adicionales han sido descritas, tales como anomalías urogenitales y adhesión placentaria por lo que se han planteado varios fenotipos y formas de expresión (15,16).…”

Section: Discussionunclassified

Síndrome de Body Stalk. Reporte de caso.

Hoyos-Belalcázar,

Quilindo,

Narvaez-Chávez

2022

Rev. Fac. Cienc. Salud Univ. Cauca

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Objetivo: Reportar un caso de síndrome de Body Stalk en una gestante con antecedente de consumo de sustancias psicoactivas y sífilis gestacional. Descripción de caso: Presentamos un caso de síndrome de Body Stalk diagnosticado a las 10 semanas de edad gestacional. El embrión presentaba múltiples defectos característicos del síndrome, incluyendo defectos de la pared abdominal y de extremidades inferiores. El síndrome de Body Stalk es un defecto congénito poco frecuente con mal pronóstico. Conclusiones: El síndrome de Body Stalk es un defecto congénito severo el cual es incompatible con la vida. El diagnóstico prenatal ultrasonográfico ayuda a definir la conducta obstétrica y disminuye el riesgo de morbilidad materna.

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Body stalk anomaly: Management of two dichorionic–diamniotic pregnancies

Cited by 7 publications

References 7 publications

Ultrasound Features and Management of Body Stalk Anomaly

Ultrasound Features and Management of Body Stalk Anomaly

Body stalk anomaly in Denmark during 20 years (1970–1989)

Síndrome de Body Stalk. Reporte de caso.

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