2007-03-12-11 Anencephaly and cleft lip © Sanchez www.thefetus.net/
Anencephaly and cleft lip
Marcos Antonio Velasco Sanchez, MD*, Candelairo Conda Moreno, MD*, Gustavo Garzon Sanchez**, Esthela Ordonez Noriega, MD***.
Hospital General S.S.A. de Ayutla, Guerrero, Mexico;
Instituto Mexicano de Diagnostico Por Imagen, Mexico;
Facultad de Medicina-Divison de Posgrado de la Universidad Autonoma de Guerrero.
This is a 28-year-old woman with unremarkable history scanned at 23rd week of gestational age. The ultrasound investigation revealed anencephaly combined with a median cleft lip, and hypotelorism. This suggests that the fetus had alobar holoprosencephaly and anencephaly. Here are some of the images we obtained.
Images 1, 2: 2D ultrasound: coronal sections through the fetal face showing striking orbits and absence of calvaria. Note the severe hypotelorism.
Images 3, 4: 2D ultrasound: parasagittal (left) and oblique parasagittal (right) planes through the orbit with missing calvaria.
Images 5, 6: 2D ultrasound: coronal sections through the fetal face showing striking orbits and median cleft lip.