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Case report


Prenatal Diagnosis of Lethal Multiple Pterygium Syndrome Using Two-and Three-Dimensional Ultrasonography.

Fernanda S BarrosEdward Araujo JúniorLiliam Cristine RoloLuciano Marcondes Machado Nardozza
Department of Obstetrics and Gynecology, School of Medical Sciences, Santa Casa de São Paulo (FCMSCSP), Department of Obstetrics, Federal University of São Paulo (UNIFESP), São Paulo-SP, Brazil
Date of Submission: 27-Aug-2012, Date of Acceptance: 11-Sep-2012, Date of Web Publication: 31-Oct-2012.
Corresponding Author:
Corresponding Author

Edward Araujo Júnior

Department of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 apto. 113 Visage, Vila Leopoldina, São Paulo-SP, Brazil.
E-mail: araujojred@terra.com.br

Corresponding Author:
Corresponding Author

Edward Araujo Júnior

Department of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 apto. 113 Visage, Vila Leopoldina, São Paulo-SP, Brazil.
E-mail: araujojred@terra.com.br

DOI: 10.4103/2156-7514.103055 Facebook Twitter Google Linkedin

ABSTRACT


Lethal multiple pterygium (LMP) is a series of disorders of fetal formation with a heterogeneous range of manifestations that generally include cystic hygroma, pulmonary hypoplasia, cleft palate, cryptorchidism, joint contractures, fetal akinesia, heart defects, growth restriction, and intestinal malrotation. The prenatal diagnosis of this syndrome is suspected when two-dimensional ultrasound (2DUS) scan shows several malformations.. The three-dimensional ultrasound (3DUS) in rendering mode permits the spatial visualization of these malformations, allowing better understanding of this anomaly by parents. We report a case of a fetus in the second trimester with multiple abnormalities suggestive of LMP that were identified using 2DUS, and emphasize the importance of 3DUS in counseling the parents.
Keywords: Lethal Multiple Pterygium, Prenatal Diagnosis, Three-dimensional Ultrasound, Two-dimensional Ultrasound

Cited in 2 Documents

  1. Edward Araujo Júnior, Christiane Simioni, Luciano Marcondes Machado Nardozza and Antonio Fernandes Moron (2013) Prenatal diagnosis of Beckwith-Wiedemann syndrome by two- and three-dimensional ultrasonography. Radiol Bras 46(6):379. doi: 10.1590/S0100-39842013000600012
  2. Akihiro Hasegawa, Mieko Hanaoka and Takeshi Murakoshi (2017) Continuous fetal head flexion as a marker for prenatal diagnosis of lethal multiple pterygium syndrome: a case report. J Med Ultrasonics 44(3):271. doi: 10.1007/s10396-016-0766-1

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