The prenatal diagnosis of thrombocytopenia-absent-radius (TAR) syndrome usi
ng ultrasound and cordocentesis in the 16th week of gestation is establishe
d. The sonographic findings detected in this case included bilateral absenc
e of the radius and club hands with normal thumbs and metacarpals. Because
of a high index of suspicion for the syndrome, cordocentesis for fetal bloo
d analysis was performed. Thrombocytopenia, with a platelet count of 14 000
/mm(3), was identified. The pregnancy was electively terminated and subsequ
ent findings confirmed the sonographic diagnosis. This report, to our knowl
edge, is one of a very limited number of cases published in the literature,
in which the prenatal diagnosis of TAR syndrome tons made.