Welcome to the ePoster Viewing Panel of AICOG 2025

Introduction : Ectopia cordis is a rare congenital condition in which the heart is located outside of the chest cavity. Incidence is 5.5?7.9 per 1,000,000 live births, with high mortality rate . Aim and objective : The aim is to present clinical and radiological findings of a patient with thoracic ectopia cordis and discuss the management and outcomes of this rare anomaly This case highlights the critical role of first-trimester ultrasound in diagnosing severe fetal anomalies Materials and methods : A 28 year-old woman, primi gravida conceived with ovulation induction with clomifene citrate in our hospital came for a routine prenatal ultrasound at 12?weeks . The patient had no significant medical or family history of congenital anomalies. . ultrasound showed a single, live, intrauterine gestation corresponding to 12?weeks .The fetal heart was visualized outside the chest through a defect in the lower sternum suggestive of thoracic variety of ectopia cordis. Results : After extensive discussions with the patient and her family, the decision was made to offer medical pregnancy termination due to the poor prognosis of the fetus . The patient was provided with counselling and support throughout the decision-making process. Medical termination was performed under close monitoring and supervision. Expulsion of the fetus was achieved safely. The patient was discharged after receiving a psychological care. Conclusion: Prenatal diagnosis of isolated thoracic-type EC is a very rare condition. Antenatal ultrasound scan is of great value in the prenatal assessment of this defect. Cardiac screening should be considered in the early weeks to diagnose this malformation in the first trimester. Due to its poor prognosis in the postnatal period, termination may be offered to these patients as an option.