Abstract
Abstract Background: Limb–body wall complex (LBWC) refers to a congenital disorder characterized by very severe limb defects. It is characterized by defects in the thoracic or abdominal wall, limb defects, and cranial defects. Two phenotypes have been described: the “placentocranial” and “placento-abdominal” adhesion phenotypes. Case: A case of LBWC in a fetus of 18 weeks' gestation is presented. LBWC was discovered at a routine visit at 18 weeks of gestation. Results: Because of the poor prognosis indicated on scans, the pregnancy was terminated and a fetal autopsy supported this prognosis. Conclusions: The important findings in this case were gastroschisis, a missing right lower limb, anal atresia, and an extremely short umbilical cord with a single umbilical artery. Out of the two phenotypes of LBWC described by Russo et al., the present case is of the placental abdominal adhesion phenotype. The dismal prognosis of LBWC compared with isolated omphalocoele or gastroschisis necessitates antenatal diagnos...
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