Abstract

Body stalk anomaly or Limb Body Wall Complex (LBWC) is rare and fatal developmental polymalformation, with at least two of the following features: exencephaly and facial clefts, thoraco and/or abdominoschisis (midline defect) and limb defect with an incidence of one in14,000 to 1 in 75,000 pregnancies. A 25 year old gravida two, abortion one presented at 20 weeks of gestation with an ultrasound report showing abdominal wall defect with herniated abdominal contents floating in amniotic fluid, gross thoraco-lumbar kyphoscoliosis, multiple vertebral anomalies, right clubfoot and continous juxtaposition of fetus to placenta. Pregnancy was terminated to expell a live male abortus (250gm) with placenta. Fetal autopsy confirmed clinical and scan diagnosis of LBWC.

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