We report a female fetus with occipital encephalocele, dysraphism of the ce
rvical spine, right renal agenesis and Mullerian agenesis. Additional findi
ngs included posterior cleft palate, absent left umbilical artery and Mecke
l's diverticulum. This fetus had the features of MURCS association with occ
ipital encephalocele. This is the second report of encephalocele with MURCS
association. Clin Dysmorphol 9:31-33 (C) 2000 Lippincott Williams & Wilkin
s.