Postmortem evaluation following an in utero fetal demise is essential for determining cause of death and counseling regarding future pregnancies. Severe maceration and fetal size along with patient desires may limit the physician's ability to perform a complete autopsy. In the cases presented, we demonstrate the utility of postmortem ultrasonography as an adjunct to traditional autopsy following fetal demise.
ArchieJGCollinsJSLebelRR. Quantitative standards for fetal and neonatal autopsy. Am J Clin Pathol2006;126:256–265.
2.
Martinez-FriasMLVillaAde PabloRA. Limb deficiencies in infants with trisomy 13. Am J Med Genet2000;93:339–341.
3.
GoetzingerKRStamilioDMDickeJMMaconesGAOdiboAO. Evaluating the incidence and likelihood ratios for chromosomal abnormalities in fetuses with common central nervous system malformations. Am J Obstet Gynecol2008;199:285.e1–285.e6.
4.
OngSTonksAWoodwardERWyldesMPKilbyMD. An epidemiological study of holoprosencephaly from a regional congenital anomaly register: 1995–2004. Prenat Diagn2007;27: 340–347.
5.
ThayyilSSebireNJChittyLS. Post-mortem MRI versus conventional autopsy in fetuses and children: a prospective validation study. Lancet2013;382:223–233.
6.
GriffithsPDVariendDEvansM. Postmortem MR imaging of the fetal and stillborn central nervous system. Am J Neuroradiol2003;24:22–27.
7.
SebireNJWeberMAThayyilSMushtaqITaylorAChittyLS. Minimally invasive perinatal autopsies using magnetic resonance imaging and endoscopic postmortem examination (“keyhole autopsy”): feasibility and initial experience. J Matern Fetal Neonat Med2012;25:513–518.
8.
Sieswerda-HoogendoornTvan RijnRR. Current techniques in postmortem imaging with specific attention to paediatric applications. Pediatr Radiol2010;40:141–152; quiz 259.
9.
ThayyilSChittyLSRobertsonNJTaylorAMSebireNJ. Minimally invasive fetal postmortem examination using magnetic resonance imaging and computerised tomography: current evidence and practical issues. Prenat Diagn2010;30:713–718.
10.
WeustinkACHuninkMGvan DijkeCFRenkenNSKrestinGPOosterhuisJW. Minimally invasive autopsy: an alternative to conventional autopsy?Radiology2009;250:897–904.