A case of prenatal Klippel-Trenaunay-Weber syndrome is presented, with a de
scription of the sonographically observed disease progression in utero. The
appearance of a complex thoracic multicystic mass in association with prog
ressive unilateral lower limb enlargement was strongly suspicious of this d
isorder. Colour-flow Doppler studies of the cutaneous haemangiomata in uter
o were not of diagnostic assistance in this case. The prenatal detection of
the large cutaneous haemangiomata was of critical importance in minimizing
delivery trauma for the mother and fetus. Copyright (C) 1999 John Wiley &
Sons, Ltd.