We present a case of FATCO (fibular aplasia, tibial campomelia and oligosyndactyly).
The ultrasound images revealed the following findings:
- double sided fibular aplasia.
- tibial campomelia.
- abnormal shape of the feet.
The pregnancy was interrupted and the diagnosis of FATCO was confirmed on X- ray and postmortem examination.
Skeletal radiographs confirm bilateral complete absence of the fibula. Both tibiae appear shortened and bowed anteriorly, and the feet appear dysmorphic with absence of the metatarsal rays bilaterally. These findings are confirmed in the macroscopic visualization of the fetus: short legs with a sharp angulation, badly oriented feet and absence of toes.