BILATERAL POLAND ANOMALY

Bilateral absence of the pectoralis major muscle with accompanying abn ormalities of shoulder muscles has been reported in patients without P oland anomaly (PA), However, symmetric absence of pectoralis major mus cles, hypoplasia of breasts and nipples with symmetric chest wall defo rmity and bilateral hand anomaly has not previously been reported. A 6 -year-old girl with bilateral absence of pectoralis major muscles and hand involvement and symmetric chest wall deformity is, to our knowled ge, the first known case of bilateral Poland anomaly.