Abstract

Limb body wall complex (LBWC) is a rare clinicopathological entity, characterized by the presence of an abdominal wall defect associated with variable spectrum of limb and visceral anomalies. A stillborn baby of LBWC with placentoabdominal phenotype is reported here. Kyphoscoliosis, sacrococcygeal mass and agenesis of external genitalia are the associated features.

Highlights

  • Limb-body wall complex (LBWC) is a rare, polymalformative fetal syndrome, appearing in 0.21–0.31/10000 deliveries [1, 2]

  • The poor prognosis of LBWC calls for early antenatal diagnosis [3]

  • The limb-body wall complex is known as the body-stalk syndrome

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Summary

Introduction

Limb-body wall complex (LBWC) is a rare, polymalformative fetal syndrome, appearing in 0.21–0.31/10000 deliveries [1, 2]. The diagnosis of this entity is based on two of the three following characteristics: (1) exencephaly/encephalocele and facial clefts; (2) thoraco- and/or abdominoschisis; and (3) limb defects [3]. Limb-body wall malformations result from a malfunction of the ectodermal placodes involving the early embryonic folding process [3]. The association of other malformations along with body wall defect makes the prognosis very poor [4]. The poor prognosis of LBWC calls for early antenatal diagnosis [3]. To the best of our knowledge, very few cases of LBWC in a stillborn fetus have been reported from India

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