We report a case in which prenatal diagnosis of fetal myelomeningocele
led to termination of the pregnancy at 17 weeks. The diagnosis was ma
de on the basis of prenatal ultrasound scan and raised maternal alpha-
fetoprotein. Although the large cystic lesion arising in the sacral re
gion appeared to confirm the diagnosis, autopsy examination revealed t
hat this was a cystic sacrococcygeal teratoma. This case illustrates t
he importance of submitting all fetuses for full autopsy.