PMC3261597_01
Prenatal 2D and 3D ultrasound image showing right synpolydactyly with seven fingers and left hexadactyly.
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F1
A 3-D ultrasound was done for better demonstration and confirmation of polydactyly [Figure 1].
Antenatal and postnatal fetal echocardiographic images showing partial atrioventricular canal defect.
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F2
The fetal pre- and postnatal echocardiographic examination revealed a partial atrioventricular canal defect [Figure 2].
(a and b) Post natal infant examination shows narrow thorax, disproportionate dwarfism, polydactyly and dystrophic small nails in all fingers.
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F3
Nails of all the fingers and toes were small, hypoplastic, and dystrophic [Figures 3a and 3b].
Post natal infantogram showing narrow thorax with short ribs, disproportionate dwarfism, postaxial synpolydactyly on right side and hexadactyly on left side (white arrow and inner small images), clubbed lower ends of both femur and proximal ends of both tibia and ulna, high placed both the clavicles, pelvic dysplasia with low iliac wings and spur like downward projections (small black arrows) at the medial and lateral aspects of the acetabulae.
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F4
A radiographic examination also showed six metacarpals in both the hands, with few of the fingers having a hypoplastic proximal phalanx and absent or small terminal phalanges [Figure 4].