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Pentalogy of Cantrell: the complete spectrum
  1. Cátia Filipa Martins1,
  2. Inês Serras2,
  3. Ana Vanessa Santos3,
  4. Ana Costa Braga4
  1. 1Department of Gynecology-Obstetrics, Centro Hospitalar do Algarve, Portimão, Portugal
  2. 2Department of Pediatrics, Centro Hospitalar do Algarve, Portimão, Portugal
  3. 3Department of Gynecology-Obstetrics, Hospital Fernando Fonseca, Amadora, Portugal
  4. 4Department of Anatomic Pathology, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal
  1. Correspondence to Dr Cátia Filipa Martins, paixaocatia{at}

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A healthy 25-year-old primigravida, without a history of teratogenic exposition, presented to our hospital with a first trimester routine ultrasonographic examination showing two major fetal defects: gastrosquisis (figure 1 and video 1) and ectopia cordis (video 2). At 16 weeks of gestation a detailed ultrasound confirmed the suspected abnormalities together with sternal and diaphragm defects, and pentalogy of Cantrell was suspected. An amniocentesis and termination of the pregnancy were considered and accepted by the couple. After expulsion, we identified a dead fetus (figure 2 …

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