Martinique

This is a G₁P₀ patient with unremarkable history. The examination is performed at 11 weeks 3 days demonstrates a distended bladder in close proximity to another cystic mass. There is also a clubbed hand.

Axial sections. The arrow points to a small hyperechoic structure.

There is also a clubbed hand:

The diagnosis of Cloacal dysgenesis sequence (see also 1 and 2 ) is confirmed at autopsy:

• Fistula between the rectum and the bladder

• Imperforated anus

• Club hand

The genitalia and imperforated anus:

The demonstration of the distended bladder and rectum and their communication.

The karyotype was attempted but the cell culture failed.