Journal of Indian Academy of Forensic Medicine
  • Year: 2014
  • Volume: 36
  • Issue: 3

Chaos created by CHAOS!!: A Case Report

  • Author:
  • Deepa Durga Roy1,, Manish Nigam2, Abhijeet Taori3
  • Total Page Count: 4
  • Page Number: 308 to 311

1Post Graduate Student, IInd Year, Department of Forensic Medicine and Toxicology, Sri Aurobindo Medical College and P.G Institute, Indore, 453111, Madhya Pradesh, India

2Prof & HOD, Dept. of Radio-diagnosis

3Post Graduate Student, IInd Year, Dept. of Radio-diagnosis

*Corresponding Author: E-mail: deepadurgaroy@gmail.com

Online published on 2 December, 2014.

Abstract

A 22 years old unbooked primigravida with 18 weeks amenorrhea came to the department of obstetrics and gynecology at Sri Aurobindo hospital for a routine checkup. On her sonography, the fetus was found to have multiple congenital malformations. The post abortus fetus, on autopsy, turned out to be one of the extremely rare cases of CHAOS. CHAOS (Congenital High Airway obstruction Syndrome) is a rare and commonly fatal abnormality pertaining to innate obstruction of the fetal airway. Most authors postulate that this malformation is related to a cessation of the embryological development of the Sixth brachial arch at different gestational junctures. In our case of CHAOS, a confirmation of the preliminary diagnosis, with location of the precise site, level and degree of obstruction was attained with the help of an autopsy. Foetal autopsies should be encouraged as they symbiotically benefit the parents and the clinicians to a more clear and precise diagnosis.

Keywords

CHAOS, Foetal autopsy, congenital malformation, Embryological Development