Transabdominal embryofetoscopy for the detection of short rib-polydactyly syndrome, type II(Majewski), in the first trimester.
Our aim was to demonstrate the potential of first-trimester embryofetoscopy for prenatal diagnosis in a continuing pregnancy. A patient at risk for giving birth to an infant with short rib-polydactyly syndrome, type II (Majewski), presented for prenatal diagnosis at 9 weeks of gestation. A 1 mm semirigid fiberoptic endoscope with an 18 gauge examination sheath and a single-chip digital camera were used for transabdominal embryofetoscopy. Transabdominal embryofetoscopy was performed at 13 weeks of gestation. Direct visualization of the fetus was achieved and no gross limb or facial abnormalities were seen. This case shows that embryofetoscopy is a useful tool for early diagnosis in high-risk patients in the first trimester for continuing pregnancies.
Perinatal Center, Department of Obstetrics and Gynecology, Yongdong Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea. dr3431@yumc.yonsei.ac.kr
Kook
K
Lee
Jin Woo
JW
Lee
Doo Byung
DB
Chay
Sang Hee
SH
Lee
Si Hyun
SH
Cho
Bo Wook
BW
Kim
Ju Youn
JY
Hwang
Min Soo
MS
Park
D000328:Adult; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis*; D005332:Fetoscopy / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D012779:Short Rib-Polydactyly Syndrome / Q000175:diagnosis*