Fetal body stalk malformation-a rare case report

Roshini Balachandran, Sunil Kumar Samal


Body stalk anomaly is a rare sporadic defect of the abdominal wall with evisceration of the thoracic and abdominal organs. Body stalk anomaly is reported in about 1 in 7500 births. Here we report about a primigravida with a fetus with posterior encephalocele, hyperextended cervical spine, kyphoscoliosis, large ventral body wall defect involving the entire thorax and abdomen with herniation of vital organs-heart, liver and intestine into the amniotic cavity. Prognosis of the fetal outcome was explained and medical termination of pregnancy was carried out. Body stalk malformation is a lethal condition either in utero or in early neonatal period which can be diagnosed in early trimester ultrasound. The association of chromosomal abnormalities and genetic syndromes in this condition is rare and the risk of recurrence in next pregnancy is less.


Encephalocele, Abdominal wall, Omphalocele

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Panaitescu AM, Ushakov F, Kalaskar A, Pandya PP. Ultrasound Features and Management of Body Stalk Anomaly. Fetal Diagn Ther. 2016;40(4):285-90.

Smrcek JM, Germer U, Krokowski M, Berg C, Krapp M, Geipel A et al. Prenatal ultrasound diagnosis and management of body stalk anomaly: analysis of nine singleton and two multiple pregnancies. Ultrasound Obstet Gynecol. 2003;21(4):322-8.

Daskalakis G, Sebire NJ, Jurkovic D, Snijders RJM, Nicolaides KH. Body stalk anomaly at 10–14 weeks of gestation. Ultrasound Obstet Gynecol. 1997;10(6):416-8.

Bugge M. Body stalk anomaly in Denmark during 20 years (1970-1989). Am J Med Genet A. 2012;158A(7):1702-8.

Murphy A, Platt LD. First-trimester diagnosis of body stalk anomaly using 2- and 3-dimensional sonography. J Ultrasound Med Off J Am Inst Ultrasound Med. 2011;30(12):1739-43.

Martínez-Frías ML, Bermejo E, Rodríguez-Pinilla E. Body stalk defects, body wall defects, amniotic bands with and without body wall defects, and gastroschisis: comparative epidemiology. Am J Med Genet. 2000;92(1):13-8.

Stevenson RE, Rogers RC, Chandler JC, Gauderer MWL, Hunter AGW. Escape of the yolk sac: a hypothesis to explain the embryogenesis of gastroschisis. Clin Genet. 2009;75(4):326-33.