Trisomy 18 (Edwards syndrome)

Case contributed by Dr Alexandra Stanislavsky


Code blue at birth. Difficulty passing NG.

Patient Data

Age: Neonate
Gender: Male

There are multiple abnormalities:

  • NG tube coiled in an upper oesophageal pouch likely due to a tracheo-oesophageal fistula with oesophageal atresia
  • sac-like soft tissue density projected over the abdomen, suggesting an anterior abdominal wall defect
  • the heart is not enlarged nor classically "boot shaped", but with an elevated apex suspicious for an underlying cardiac anomaly
  • unusually thin, gracile ribs and long bones

Case Discussion

This is a baby with numerous morphologic abnormalities, all diagnosed at birth. Radiologically evident on this radiograph are:

  • TOF-OA
  • abdominal wall defect (confirmed omphalocele)
  • abnormal looking, thin bones

Although no specific diagnosis can be made on this baby, overall picture is of a syndromic baby.

Other findings were a perimembranous VSD on echo (note again that elevated cardiac apex), cleft lip and palate and an imperforate anus.

FISH analysis revealed Trisomy 18 (Edwards syndrome).  

Following genetic consultation, the baby was palliated.

PlayAdd to Share

Case information

rID: 47639
Published: 25th Aug 2016
Last edited: 16th Sep 2016
Tag: neonate
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.