Abstract
We report the case of a male, low birth weight, stillborn fetus of 36 weeks gestation with limb body wall complex. An interesting and rare feature noted in the propositus was the absence of the left subclavian artery and complete absence of the left upper limb. These findings seem to favor the vascular theory in the pathogenesis of this condition.
Highlights
The Limb Body Wall Complex (LBWC) is characterized by severe congenital anomalies, chief of which are thoracoschisis, abdominoschisis, limb defects, and exencephaly [1]
At 36 weeks of gestation, she was admitted with preterm onset of labour and delivered a stillborn fetus weighing 1900 g
The limb body wall complex is known as the bodystalk syndrome
Summary
The Limb Body Wall Complex (LBWC) is characterized by severe congenital anomalies, chief of which are thoracoschisis, abdominoschisis, limb defects, and exencephaly [1]. She had been clinically diagnosed to have polyhydramnios prior to being referred to our institute. The placenta was normal; the umbilical cord was short; two umbilical arteries and one umbilical vein were present in the cord. The arch of the aorta gave rise to the right brachiocephalic trunk and a small left common carotid artery. The right lung was normal, but the left was firm, hypoplastic and without lobations. The intestines were nonrotated, with the small intestine on the right and the large intestine on the left side. The large intestine was short, stenosed and ended in a blind pouch; the terminal part of the large intestine and the rectum were atretic; the anal canal was patent and the anal opening normal. The liver was trilobulated and the gall (page number not for citation purposes)
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