PMC3262515_01
Echocardiography showing ostium secundum atrial septal defect.
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fig1
Echocardiographic evaluation revealed situs slitus, levocardia, and atrioventricular and ventriculoarterial concordance with intact ventricular septum and a 15 mm ostium secundum atrial septal defect (Figure 1) with left-to-right shunt and normal pulmonary venous drainage.
(a) X ray showing bilateral absence of radii. (b) Picture showing deformed bilateral upper limbs with absent thumbs.
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fig2
The child also had bilateral upper limb deformities in form of short forearms due to absent radii and thumbs (Figures 2(a) and 2(b)).
Picture showing triangular shaped head with prominent coronal sutures.
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fig3
Apart from this, the child also had a triangular-shaped head with prominent and palpable coronal sutures (Figure 3) due to craniosynostosis confirmed by X ray (Figure 4) and an anteriorly placed imperforate anus (Figure 5) for which a colostomy was done after birth.
X-ray skull showing evidence of craniosynostosis (arrows) of frontal and coronal sutures.
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fig4
Apart from this, the child also had a triangular-shaped head with prominent and palpable coronal sutures (Figure 3) due to craniosynostosis confirmed by X ray (Figure 4) and an anteriorly placed imperforate anus (Figure 5) for which a colostomy was done after birth.
Picture showing anteriorly placed imperforate anus.
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fig5
Apart from this, the child also had a triangular-shaped head with prominent and palpable coronal sutures (Figure 3) due to craniosynostosis confirmed by X ray (Figure 4) and an anteriorly placed imperforate anus (Figure 5) for which a colostomy was done after birth.