ABSTRACT
A small, cystic structure was identified on a routine ultrasound scan performed for dating at 15 weeks' gestation. Originally it was thought to be an omphalocele, but further examination confirmed its origin in the cord several centimeters distal to the fetus. Close scrutiny of ultrasonograms is important since technical capabilities permit high-resolution scans during early gestation.
Subject(s)
Hernia, Umbilical/diagnosis , Ultrasonography , Urachal Cyst/diagnosis , Diagnosis, Differential , Female , Humans , Pregnancy , Pregnancy Trimester, SecondABSTRACT
In utero diagnosis of Beckwith-Wiedeman syndrome was made after sonographic identification of an omphalocele and organomegaly in a term fetus. Although not all possible criteria for diagnosis could be antenatally confirmed, the finding of an anterior wall defect associated with macrosomia and possible macroglossia made it very likely. This enabled us to counsel the patient properly and to prepare adequate neonatal support at delivery.
