A 31-year-old pregnant with Limb Body Wall Complex (LBWC) : a case report

Authors

  • ฐิติมา หาญสมบูรณ์

Keywords:

Limb Body Wall Complex, Abdominal wall defect

Abstract

               We reported a case of a 31-year-old primi-gravida. She presented to Langsuan Hospital for routine antenatal check up.Ultrasonography was performed due to uterine fundus larger than
gestational age and revealed live fetus with 15 weeks of gestation by BPD, HC and FL measurements. The scan also revealed fetal scoliosis with a large abdominal wall defect.Kidneys, pelvic organs and
genitalia were difficult to identify and right lower limb was absent. After therapeutic termination of pregnancy, the abnormalities were confirmed and short umbilical cord with single umbilical artery was also mentioned.No abnormalities were found at karyotypic examination (46, XY). This case study was a placento-abdominal adhesion phenotype of a Limb Body Wall Complex (LBWC).

References

1. Van Allen MI, Curry C, Gallagher. Limb body wall complex I:Pathogenesis. Am J Med Genet 1987;28:529-48.

2. Negishi H, Yaegashi M, Kato EH, Yamada H,Okuyama K, Fujimoto S. Prenatal diagnosis of limb-body wall complex. J Repord Med 1998;43:659-64.

3. Giacoia GP. Body stalk anomaly. Congenital absence of umbilical cord. ObstetGynecol 1992;80:527-9.

4. Craven CM, Carey JC, Ward K. Umbilical cord agenesis in limb body wall defect. Am J Med Genet 1997;71:07-105.

5. Daskalakis G, Sebire NJ, Jurkovic D, Snijders RJ,Nicolaides KH. Body stalk anomaly at 10-14 weeeks of gestation. Ultrasound ObstetGynecol 1997;10:416-8.

6. Viscarello RR, Ferguson DD, Nores J, Hobbins JC.Limb-body wall complex associated with cocaine
abuse: further evidence of cocaine’s teratogenicity. ObstetGynecol 1992;80:523-6.

7. KamudhamasA, Manusook S. Limb-body wall complex, report of 2 cases with their quintessence is prenatal diagnosis. J Med Assoc Thai 2001;84(4):602-8.

8. Tongsong T, Wanapirak C. Prenatal diagnosis of ventral wall defects : Case series report. Thai J
ObstetGynecol 1992;4:119-24.

9. Glasser SA, Zaeri NN, Nisenbaum H. Body stalk deformity in a twin pregnancy: case report and review. Md Med J 1993;42:175-8.

10. Ginsberg NE, Cadkin A, Atrom C. Prenatal diagnosis of body stalk anomaly in the first trimester of pregnancy. Ultrasound ObstetGynecol 1997;10:419-21.

11. Shalev E, Eliyahu S, Battino S, Weiner E. First trimester transvaginalsonographic diagnosis of body stalk anomaly. J Ultrasound Med 1995;14:641-2.

12. Duruelle P, Hay R, Subti D et al. Antenatal diagnosis of limb body wall complex. Gynecol ObstetBiolReprod (Paris) 2000;29(4):385-91.

13. Russo R, D’ Armiento M, Angrisani P, Vecchione R. Limb body wall complex : a critical review and a nosological proposal. Am J Med Genet 1993; 1:47(6):893-900.

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Published

2016-03-01

How to Cite

หาญสมบูรณ์ ฐ. (2016). A 31-year-old pregnant with Limb Body Wall Complex (LBWC) : a case report. Region 11 Medical Journal, 30(1), 79–84. Retrieved from https://he02.tci-thaijo.org/index.php/Reg11MedJ/article/view/177571

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Section

Case Report