EP09.48: Ectopia cordis in the first trimester

Ectopia cordis is a rare congenital malformation characterised by displacement of the heart outside the thorax, with an incidence of 5.5 to 7.9 per million live births. It is further classified based on the location of the ectopic heart, and prognosis is generally poor. We are presented with a case of 36-year-old Gravida 2 Para 1 at 13 1/7 weeks age of gestation diagnosed in transabdominal scan with ectopia cordis associated with generalised subcutaneous edema, acrania with noted cranial mass, considerations of gut herniation and a band-like structure from the ectopic heart to the fetal face. The pregnancy led to fetal demise at 13 6/7 weeks and the patient underwent completion curettage with confirmation of the sonological findings with actual delivered abortus. Early diagnosis of ectopia cordis is important for patient counselling and prognostication. Identification and detailed examination of the heart, other associated anomalies and presence of amniotic bands are important when sonographic findings of body wall defects and craniofacial deformities are seen. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.