Tribhuwan University, Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Gulmi Hospital, Tamghas, Gulmi, Nepal.
JNMA J Nepal Med Assoc. 2022 May 5;60(249):485-487. doi: 10.31729/jnma.7486.
The complete absence of limbs is a rare occurrence. Though the causes are various, it is hard to elicit most of the time. They are usually diagnosed via anomaly scan but the lack of access to the same can often lead to a term presentation. It is still not uncommon to receive pregnant patients at term to the hospital or in labour as the first antenatal visit. Increasing the feasibility of the scan can help in the early diagnosis and management. Here, we report a rare combination of limb defects that we managed in a district-level hospital and highlight the difficulties in the management and referral of the patients while working in rural areas.
amelia; antenatal care; congenital limb deformities; fetal ultrasonography.
四肢完全缺失是一种罕见的情况。尽管原因多种多样，但大多数时候都难以确定。它们通常通过异常扫描来诊断，但由于无法进行同样的扫描，往往会导致在足月时才呈现。在农村地区工作时，仍经常会有孕妇在足月时或分娩时首次到医院就诊。增加扫描的可行性有助于早期诊断和管理。在这里，我们报告了一种罕见的肢体缺陷组合，我们在一家区级医院进行了管理，并强调了在农村地区管理和转介患者时的困难。
上肢缺如；产前保健；先天性肢体畸形；胎儿超声检查。
