Journal of Pathology and Translational Medicine

Case Reports

Acardiac Fetus with Encephalocele: A case report.: Seong Beom Lee, Won Sang Park, Ki Hwa Yang, Jong Chul Shin, Jung Yong Lee, Sang Ho Kim, Choo Soung Kim; Korean J Pathol. 1994;28(6):678-681.

Abstract PDF: The acardiac fetus is a rare type of fetal monster in which, as the name implies, the heart is completely absent. Acardius occurs only in a pair monozygotic twin, and shows various other defects in addition to the absence of the heart. Our autopsy case is acardiac anceps. He weighed 1,980 gm and the height was 33 cm. The brain is poorly developed, 60 gm in weight and similar to reversed snowman (3.5x2.8x2.8, 1.5x1.5x1.3 cm). Encephalocele, 6 cm in diameter, was communicated with the brain by a tract which contains nervous tissue and primitive choroid plexus. The upper extremities were absent, while the vertebrae and lower extremities were relatively well developed. The heart, lungs, stomach, liver, and spleen were absent, but the kidney, genital organs and urinary bladder were present. The intestine was seperated into two segments which were blindly ended, 32 cm and 15 cm in length, respectively.

Holoacardius Hemisomus Acephalus: A case report.: Tae Jin Kim, Chong Jai Kim, Sung Hye Park, Suk Keun Lee, Je G Chi; Korean J Pathol. 1989;23(4):487-489.

Abstract PDF: An autopsy case of holoacardius hemisomus acephalus is reported. She weighed 2,190 gm and the height was 38 cm. The head and upper extremities were absent, while the vertebrae and lower extremities were relatively well developed, but severely edematous. The heart, lungs, stomach, liver, spleen, and pancreas were missing, but the lower abdominal organs including kidneys, adrenal, urinary bladder, and genital organs were present. The intestine was blind-ended at jejunal level but opened into a normal anus. The umbilical cord had two arteries and one vein.

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