Hi! If your wife was my patient, I would recommend a level 3 scan ASAP. A fetal MRI might also be useful.
A meningomyelocele is a condition caused by failure of the baby's lower spine to develop normally, so that part of the spinal cord and covering membranes are actually exposed. Depending upon the severity of the condition, this can lead to difficulty in movement of the baby's lower limbs.
A triple marker test done in the second trimester of pregnancy should show an elevated AFP level if the baby has a meningomyeloceole. In most cases the level is quite elevated, and not subtle, however, there are false negative tests.
A meningomyelocele would also be present from conception and would not develop later in pregnancy--in other words, it should have been noted on an earlier scan--although there are false negative ultrasound scans too.
It sounds to me as though your doctors are suspecting a teratoma instead of a meningomyeolcele. A teratoma is a type of tumor which is almost always benign and could potentially be completely surgically removed without complications.
More sophisticated ultrasound or MRI could potentially help to sort out the differential diagnosis before delivery. One thing I would certainly look at is the presence or absence of movement of the lower limbs. That should be easy to see regardless of the technology.
In the US, we would almost certainly perform a cesarean section for the delivery. A planned delivery at term would be ideal so that neonatologists could be present to evaluate the needs of the newborn.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.