ANTENATAL ULTRASOUND OF LIMB BODY WALL COMPLEX: A CASE REPORT
(a) Nur Amin Wahidji, (b) Deviana Soraya Riu, (c) Nusratuddin Abdullah

(a) Department of Obstetrics and Gynecology, Hasanuddin University, Makassar - Indonesia
(b) Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine University, Hasanuddin University, Makassar - Indonesia
(c) Department of Obstetrics and Gynecology, Division of Endocrine and Reproductive Medicine, Hasanuddin University, Makassar - Indonesia

Abstract

Limb body wall complex is a rare congenital disorder, including myelomeningocele, thoracoabdominoschisis, and limb defects. Two out of the three disorders are required to diagnose a limb body wall complex. A 33 years old multiparitas, 24 weeks pregnancy. Ultrasound examination found a single fetus with SDP of 3.1 cm, EFW of 585 grams, negative FHR with limb body wall complex. She was induced for labor by dilating a 30 mL intracervical catheter and 200mcg vaginal misoprostol. A baby girl was born weighing 426 grams, body length of 21cm, APGAR score 0. There were abdominal wall defects, kyphoscoliosis and lower extremities deformities, no umbilical cord and the baby is attached to the placenta. Pregnancy termination is an available option as it has a low survival rate, the suffering experienced if it survives, and risk posed by the pregnancy. The conclusion is if the abnormalities are found earlier, so do the management.

Keywords: limb body wall complex, ultrasound, congenital abnormalities

Topic: Maternal, neonatal, and child health