Case presentation:
A 29-year-old female presented to the Obstetrics and Gynecology
Department with a sudden stop in pregnancy symptoms such as pregnancy
craving, vomiting and nausea, accompanied by pain in the lower abdomen
and mild bloody mottling. There were no other symptoms. The patient had
a partus caesarius two years ago. Our patient has smoked 3
packs\year for 6 years. There was no other medical,
family, surgical, or allergic history. The pregnancy age depends on the
last menstrual cycle was 12 weeks +2 days. The patient had never had a
US before. The US demonstrated a dead fetus inside the uterus at age 11
weeks with irregularities in the skull bones and severe cerebral
malformation. A single orbital cave is also noted. The US investigation
was ineffective. 800 mg of Misoprostol was prescribed to induce medical
miscarriage (400 mg oral and 400 mg vaginal). The pathological exam
demonstrated a male embryo measuring 7 cm in length (Fig. 1). Gross
examination showed a single central orbit located in the middle of the
face with a cutaneous horn above it (Fig. 2); and polydactyly in its
foot, attached with a normal umbilical cord (Fig. 3). The visceral
organs of the embryo were normal except the brain’s front, which showed
adhesion of its right and left hemispheres. A placenta measures 7 x 2 cm
and is composed of normal villi and decidual tissue (Fig. 1).