Hysteroscopic fetoscopy: A role as virtuopsy for parents who refuse full autopsy? A case of facial clefting, proboscis, and limb deformities
| Autor: | Enrico Periti, Gabriele Tonni, L. Rosignoli |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Chorionic villus sampling virtuopsy Autopsy Prenatal diagnosis Hysteroscopy fetoscopy lcsh:Gynecology and obstetrics Ultrasonography Prenatal Fetoscopy Fetus Pregnancy Obstetrics and Gynaecology Humans Medicine Local anesthesia Abortion Therapeutic Median cleft lip lcsh:RG1-991 prenatal diagnosis medicine.diagnostic_test ultrasound business.industry Obstetrics Obstetrics and Gynecology medicine.disease Surgery Fetal Diseases Pregnancy Trimester First Chorionic Villi Sampling Female business cleft lip and palate |
| Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 54, Iss 5, Pp 608-611 (2015) |
| ISSN: | 1028-4559 |
| DOI: | 10.1016/j.tjog.2015.08.016 |
| Popis: | Objective To describe the value of hysteroscopic fetoscopy ( virtuopsy ) at the time of uterine suction in a case of early diagnosis of congenital anomalies in parents refusing conventional full autopsy examination. Case report First trimester ultrasound diagnosis of proboscis, median cleft lip and palate and limb deformities. Chorionic villus sampling demonstrated normal karyotype. Parents refused medical induction of termination of pregnancy with subsequent conventional autopsy. At this stage, hysteroscopic fetoscopy was consented and carried out under local anesthesia prior to uterine evacuation. Conclusion Hysteroscopic fetoscopy ( virtuopsy ) proved to be a valuable complementary diagnostic investigation and enhanced the parental bonding process concerning the fetal phenotype. Notwithstanding, the woman declared an acceptable compliance during the procedure. In selected cases, virtuopsy may be a valid option in confirming early prenatal ultrasound diagnosis in parents refusing conventional autopsy or when full postmortem examination may not be clinically indicated or warranted. |
| Databáze: | OpenAIRE |
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