Departamento de Ginecología y Obstetricia, Facultad de Medicina, Universidad de Concepción, Chile. Servicio de Ginecología y Obstetricia, Departamento de Exploración Fetal, Hospital Guillermo Grant Benavente, Concepción, Chile.

Case report

This is a 22-week fetus referred to our center because of an abnormal view of the upper limbs. These are the images we obtained.

The fetal karyotype was 47,XX+18

There are also some video clips available which show other anomalies found.

Head: strawberry shape of the cranium with a small cleft of the cerebellar vermis but a normal cisterna magna.

Heart: Notice the enlarged heart (cardiothoracic ratio of 50%). All cardiac chambers are distended. Doppler analysis showed regurgitation in all 4 valves, thus polyvalvular dysplasia was proposed in this case.

Detail of both hands.Video clip-1   Video clip-2