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Medicinski pregled
2015, vol. 68, br. 11-12, str. 410-412
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.2298/mpns1512410i


Kantrelova pentalogija u blizanačkoj trudnoći - prikaz slučaja
aUniversity of Novi Sad, Faculty of Medicine, Department for Histology and Embryology + Clinical Center of Vojvodina, Novi Sad, Center for Histology and Pathology
bUniversity of Novi Sad, Faculty of Medicine, Department for Histology and Embryology + University of Novi Sad, Faculty of Medicine, Department for Pathology

e-adresa: jelena.ilic1705@gmail.com

Sažetak

Uvod. Kantrelova pentalogija je izuzetno retka kongenitalna multipla anomalija sa lošim ishodom. Sindrom se sastoji od sledeće pentade: defekt abdominalnog zida, defekt donjeg dela sternuma, defekt prednjeg dela dijafragme, ektopija srca, kao i različiti oblici srčanih anomalija. Prikaz slučaja. U petnaestoj nedelji blizanačke trudnoće, ultrazvučni pregled pokazao je multiple anomalije jednog i nedostatak vrha nosa drugog blizanca. Nakon abortusa, koji je odobrio Etički komitet, izvršena je autopsija oba fetusa. Spoljašnjim pregledom fetusa broj jedan nađeno je ektopično srce i omfalokela. Unutrašnji pregled pokazao je postojanje rascepa sternuma, ektopično srce, kao i deo levog plućnog krila, postojanje hernije dijafragme sa protruzijom abdominalnih organa, srce sa samo jednim velikim krvnim sudom i potkovičaste bubrege. Potpuna ekspresija Kantrelove pentalogije je potvrđena. Spoljašnjim i unutrašnjim pregledom drugog blizanca konstatovana je samo ageneza vrha nosa. Zaključak. Prepoznavanje i dijagnostikovanje sindroma je izuzetno važno. Pravovremeno postavljanje dijagnoze doprineće adekvatnom praćenju trudnoće i samog porođaja.

Ključne reči

Petalogija Kantrel; Prenatalna dijagnostika; Prenatalnaultra sonografija; Blizanci; Blizanačka trudnoća; Abortirani fetus; Indukovani abortus; Autopsija; Multiple malformacije

Reference

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