CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2017; 39(03): 142-146
DOI: 10.1055/s-0037-1598607
Case Report
Thieme-Revinter Publicações Ltda Rio de Janeiro, Brazil

Limb Body Wall Complex Associated with Placenta Accreta: A Mere Coincidence or a Sign of an Etiopathogenic Link?

Limb body wall complex associada à placenta acreta: uma mera coincidência ou um indício de um elo etiopatogênico?
Marcos Masaru Okido
1   Department of Gynecology and Obstetrics, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo – USP, Ribeirão Preto, SP, Brazil
,
Aderson Tadeu Berezowski
1   Department of Gynecology and Obstetrics, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo – USP, Ribeirão Preto, SP, Brazil
,
Sandra Regina Marques Carvalho
1   Department of Gynecology and Obstetrics, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo – USP, Ribeirão Preto, SP, Brazil
,
Geraldo Duarte
1   Department of Gynecology and Obstetrics, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo – USP, Ribeirão Preto, SP, Brazil
,
Ricardo de Carvalho Cavalli
1   Department of Gynecology and Obstetrics, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo – USP, Ribeirão Preto, SP, Brazil
,
Alessandra Cristina Marcolin
1   Department of Gynecology and Obstetrics, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo – USP, Ribeirão Preto, SP, Brazil
› Author Affiliations
Further Information

Publication History

04 September 2016

14 December 2016

Publication Date:
03 March 2017 (online)

Abstract

A case was reported of a fetus with the anomaly of limb body wall complex associated with placenta accreta. To date, only one account of this condition has been published in the world literature. Due to the low frequency of both complications, the hypothesis has been raised that this association may have happened not by mere coincidence, but rather by a possible common etiopathogenic mechanism. For the first time, a study proposes the existence of a possible etiopathogenic connection between the anomaly of limb body wall complex and hypoxic disorders caused by inadequate placentation in previous uterine scarring.

Resumo

Foi relatado um caso de feto com anomalia de limb body wall complex associada a uma placenta acreta. Até o presente, apenas uma descrição com essa condição foi publicada na literatura mundial. Devido à baixa frequência das duas complicações, foi levantada a hipótese de que essa associação possa ter ocorrido não por uma mera coincidência, mas por um possível mecanismo etiopatogênico comum. Pela primeira vez, um estudo propõe a existência de uma possível possível ligação etiopatogênica entre a anomalia de limb body wall complex e os transtornos hipóxicos causados pela placentação inadequada em cicatriz uterina prévia.

 
  • References

  • 1 Kähler C, Humbsch K, Schneider U, Seewald HJ. A case report of body stalk anomaly complicating a twin pregnancy. Arch Gynecol Obstet 2003; 268 (03) 245-247
  • 2 Smrcek JM, Germer U, Krokowski M. , et al. Prenatal ultrasound diagnosis and management of body stalk anomaly: analysis of nine singleton and two multiple pregnancies. Ultrasound Obstet Gynecol 2003; 21 (04) 322-328
  • 3 Hunter AGW, Seaver LH, Stevenson RE. Limb-body wall defect. Is there a defensible hypothesis and can it explain all the associated anomalies?. Am J Med Genet A 2011; 155A (09) 2045-2059
  • 4 Costa MLB, Couto E, Furlan E. , et al. Body stalk anomaly: adverse maternal outcomes in a series of 21 cases. Prenat Diagn 2012; 32 (03) 264-267
  • 5 Daskalakis G, Sebire NJ, Jurkovic D, Snijders RJM, Nicolaides KH. Body stalk anomaly at 10-14 weeks of gestation. Ultrasound Obstet Gynecol 1997; 10 (06) 416-418
  • 6 Bugge M. Body stalk anomaly in Denmark during 20 years (1970-1989). Am J Med Genet A 2012; 158A (07) 1702-1708
  • 7 Streeter GL. Focal deficiency in fetal tissues and their relation to intra-uterine amputation. Contrib Embryol 1930; 22 (126) 33-41
  • 8 Torpin R. Amniochorionic mesoblastic fibrous strings and amnionic bands: associated constricting fetal malformations or fetal death. Am J Obstet Gynecol 1965; 91 (01) 65-75
  • 9 Van Allen MI. Fetal vascular disruptions: mechanisms and some resulting birth defects. Pediatr Ann 1981; 10 (06) 219-233
  • 10 Sahinoglu Z, Uludogan M, Arik H. , et al. Prenatal ultrasonographical features of limb body wall complex: a review of etiopathogenesis and a new classification. Fetal Pediatr Pathol 2007; 26 (03) 135-151
  • 11 Halder A. Amniotic band syndrome and/or limb body wall complex: split or lump. Appl Clin Genet 2010; 3: 7-15
  • 12 Colpaert C, Bogers J, Hertveldt K, Loquet P, Dumon J, Willems P. Limb-body wall complex: 4 new cases illustrating the importance of examining placenta and umbilical cord. Pathol Res Pract 2000; 196 (11) 783-790
  • 13 Bowman ZS, Eller AG, Kennedy AM. , et al. Accuracy of ultrasound for the prediction of placenta accreta. Am J Obstet Gynecol 2014; 211 (02) 177.e1-177.e7
  • 14 Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 2005; 192 (05) 1458-1461
  • 15 Jauniaux E, Jurkovic D. Placenta accreta: pathogenesis of a 20th century iatrogenic uterine disease. Placenta 2012; 33 (04) 244-251
  • 16 Tantbirojn P, Crum CP, Parast MM. Pathophysiology of placenta creta: the role of decidua and extravillous trophoblast. Placenta 2008; 29 (07) 639-645
  • 17 Wehrum MJ, Buhimschi IA, Salafia C. , et al. Accreta complicating complete placenta previa is characterized by reduced systemic levels of vascular endothelial growth factor and by epithelial-to-mesenchymal transition of the invasive trophoblast. Am J Obstet Gynecol 2011; 204 (05) 411.e1-411.e11
  • 18 Saadi H, Sfakianoudis K, Thomas D. Limb body wall complex associated with placenta previa accrete [Internet]. 2007 [cited 2015 Mar 12]. Available from: https://www.sonoworld.com/fetus/page.aspx?id=2420
  • 19 Martinez JM, Fortuny A, Comas C. , et al. Body stalk anomaly associated with maternal cocaine abuse. Prenat Diagn 1994; 14 (08) 669-672
  • 20 Viscarello RR, Ferguson DD, Nores J, Hobbins JC. Limb-body wall complex associated with cocaine abuse: further evidence of cocaine's teratogenicity. Obstet Gynecol 1992; 80 (3 Pt 2): 523-526
  • 21 Chen CP, Lee MS, Tsai FJ, Huang MC, Chern SR, Wang W. Limb-body wall complex in one fetus of a dizygotic twin pregnancy conceived by egg donation, in vitro fertilization and embryo transfer: prenatal diagnosis and literature review. Taiwan J Obstet Gynecol 2009; 48 (04) 446-450
  • 22 Daskalakis GJ, Nicolaides KH. Monozygotic twins discordant for body stalk anomaly. Ultrasound Obstet Gynecol 2002; 20 (01) 79-81
  • 23 Rovida PL, Prefumo F, Frusca T, Fichera A. Concordant body stalk anomaly in a monoamniotic twin pregnancy at 9 weeks. Prenat Diagn 2014; 34 (09) 915-916
  • 24 Hiett AK, Devoe LD, Falls III DG, Martin SA. Ultrasound diagnosis of a twin gestation with concordant body stalk anomaly. A case report. J Reprod Med 1992; 37 (11) 944-946
  • 25 Glasser SA, Zaeri NN, Nisenbaum H. Body stalk deformity in a twin pregnancy: case report and review. Md Med J 1993; 42 (02) 175-178