Amnion rupture sequence in a first trimester missed abortion.
We report the diagnosis of amnion rupture sequence made by sonography and fetoscopy during the first trimester of gestation in a case of missed abortion. The investigation revealed a demised fetus with the characteristics of 9 weeks of development. The early fetus had an amnion adhesion at the tip of the nose and strands of amnion wrapped around the terminal phalanges of both feet. No defects in addition to the face and limb involvement were identified. The karyotype was normal: 46,XX. In the reported case, fetoscopy allowed confirmation of the sonographic diagnosis of an amnion rupture sequence in the first trimester of gestation and consequently helped to clarify the cause of abortion in this case of early fetal demise.
Philipp
T
T
Ludwig Boltzmann Institute of Clinical Gynecology and Obstetrics, Danube Hospital, Langobardenstrasse 122, 1220 Vienna, Austria. thomas.philipp@smz.magwien.gv.at
Kalousek
D K
DK
D000030:Abortion, Missed / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D000650:Amnion / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D005313:Fetal Death / Q000000981:diagnostic imaging; D005332:Fetoscopy; D005865:Gestational Age; D006801:Humans; D007621:Karyotyping; D011247:Pregnancy; D012422:Rupture, Spontaneous; D014463:Ultrasonography