International Journal of Reproduction, Contraception, Obstetrics and Gynecology Lavanya C et al. Int J Reprod Contracept Obstet Gynecol. 2020 Feb;9(2):866-870 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20200396 Case Report An interesting case of Phocomelia C. Lavanya1*, T. Ramani Devi2, D. Gayathri3 1Department of Obstetrics and Gynecology, Malar hospital, Trichy, Tamil Nadu, India 2Department of Obstetrics and Gynecology, Ramakrishna Medical Centre LLP and Janani Fertility Centre, Trichy, Tamil Nadu, India 3Department of Obstetrics and Gynecology, Ramakrishna Medical Centre LLP, Trichy, Tamil Nadu, India Received: 25 September 2019 Revised: 21 December 2019 Accepted: 27 December 2019 *Correspondence: Dr. C. Lavanya, E-mail:
[email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Authors present a very rare case of tetra-phocomelia evaluated by antenatal ultrasonography. It is a condition seen in 0.62 per 100,000 live births. This is a congenital chromosomal abnormality involving the musculoskeletal system. Primi gravida with spontaneous conception after a long period of infertility underwent early anomaly scan. Patient was not aware of the last menstrual period hence; NT scan was missed. Routine early anomaly scan done between 16- 18 weeks of pregnancy diagnosed a fetus with Tetra-Phocomelia. Due to the lack of associated symptoms or significant history, our case did not fit into any specific syndrome and appears to be the result of a sporadic, non- hereditary limb deficiency involving all four limb buds.