PMC3758712_01
(a) Ultra sonograms showing a large cyst, in the wall of cyst umbilical vessels are seen (b) Ultra sonogram showing parts of fetus (note the large cyst in the lower part of the fetus) (c and d) Gross photograph of the fetus showing encephalocele, amelia of digits of right upper limb, abdominal wall defects with protrusion of organs which are covered by thin membrane, scoliosis and malrotation of the lower limbs (e) Closer view of lower limbs showing malrotation (lower limbs digits are arranged in opposite direction) (f) Infantogram showing encephalocele and scoliosis
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F1
The intraabdominal unilocular cystic mass was assumed to be the urinary bladder and in conjunction with the presence of oligohydraminos and Intrauterine growth retardation a proposed diagnosis of congenital megacystitis or Prune Belly Syndrome was made [Figures 1a and 1b]. Although these organs were not encased by a membrane, a membrane like structure was present near the anterior abdominal wall opening [Figures 1c and 1d]. The lower limbs exhibited malrotation and were pushed to the right lateral side by the protruding abdominal organs [Figure 1e]. A radiological examination was also done, which confirmed the gross skeletal anomalies and the encephalocele [Figure 1f].