Egypt

Case report

A 32-year-old primigravida from a nonconsanguineous couple was referred to our office due to an abnormal routine ultrasound scan. Her medical history was noncontributive. Our ultrasound examination revealed a massive tumorous structure protruding out of the fetal mouth, which we considered to be the epignathus. Amniocentesis was not performed. The parents opted for the termination of the pregnancy and the diagnosis was confirmed.

Images 1, 2, 3, and 4: The images shows sagittal (Images 1, 2) and coronal (Images 3, 4) scans of the fetal head with the epignathus. The images on the right represent a fusion of the images on the left with the postnatal appearance of the fetus.

Images 5, 6: 19 weeks of pregnancy; the images shows sagittal (Images 5) and oblique coronal (Image 6) scans of the fetal head with a tumorous mixed solid and cystic mass protruding out of the fetal mouth (arrows) - the epignathus.

Video 1: 19 weeks of pregnancy; the video shows the fetus with a tumorous mixed solid and cystic mass protruding out of the fetal mouth, representing the epignathus.

Images 7, 8, 9: The images show pathological specimens of the fetus after the termination of the pregnancy at 21st week. Massive epignathus sticks out of the fetal mouth.