Perinatology Unit, Carabobo University, Valencia - Venezuela. UPUC@hotmail.com

This is a third trimester fetus with craniosynostosis resulting in a Cloverleaf skull or kleeblattsch?del.

The baby after delivery also has elbow ankylosis, clinodactyly and clubfoot, exophthalmos and proptosis with corneal ulceration note the covered spinal defect).