Transcervical Embryoscopic Diagnosis of Trisomy 21 with Intrauterine Fetal Demise

Translated Titles





詹景全(Chying-Chyuan Chan);金承惠(Chen-Hui Jin);鍾明宗(Ming-Tzeung Chung);彭忠衎(Chung-Kan Peng)

Key Words

頸後水腫 ; 過期流產 ; 經子宮頸胚胎鏡 ; 超音波 ; 唐氏症 ; cystic hygroma ; early intrauterine fetal demise ; transcervical embryoscopy ; Trisomy 21



Volume or Term/Year and Month of Publication

2卷6期(2005 / 06 / 01)

Page #

585 - 589

Content Language


Chinese Abstract


English Abstract

Background: Embryoscopic diagnosis of cystic hygroma with trisomy 21 presenting as intrauterine fetal demise has never been reported. The morphological and pathological examination results, and the exact time of death in the conceptus of an intrauterine fetal demise are seldom clearly delineated. Case report: We used a transcervical endoscope to diagnose cystic hygroma in a case of 12-week intrauterine fetal demise in a 36-year-old patient. Based on the size and the external features of the dead embryo, which exhibited developmental arrest at 11 weeks and 5 days of gestational age, we estimated that the embryo had died approximately 2 days before the examination. The entire procedure went smoothly with no immediate complications. Conclusion(s): Intrauterine fetal demise is a common obstetric problem and the exact features of a dead embryo in utero are never clear before the introducing of the embryoscope. By means of transcervical embryoscopic examination of the embryo before evacuation, the morphological abnormalities can be almost completely visualized.

Topic Category 醫藥衛生 > 醫藥衛生綜合