Beckwith-Wiedemann syndrome (BWS), though a well-delineated clinical a
nd morphological entity, can be difficult to diagnose by prenatal ultr
asound examination when incomplete forms occur. We present a case with
sonographic results including hydronephrosis, cardiomegalia, hepatome
galia, macroglossia, and prominent forehead. No abdominal wall defect
was detected. Karyotype was normal. In spite of intensive prenatal dia
gnostics, BWS could not be diagnosed definitely until birth.