The department of Obstetrics and Gynecology, Hôpital Félix Guyon, rue des Topazes, 97400 Saint-Denis, Reunion Island, France. Ph : 0262 90 55 22. Fax : 0262 90 77 30.

This 36-week fetus with growth restriction has no Doppler anomaly. The only ultrasound findings included a long toe, which prompted a karyotype and investigation into monosomy 4p-, also known as  4p- Syndrome Wolf-Hirschhorn syndrome. The karyotype confirmed the clinical and ultrasound suspicion.