Achondrogenesis is a lethal form of congenital chondrodystrophy characteriz
ed by extreme micromelia. We describe a case of achondrogenesis type II (La
nger-Saldino achondrogenesis) detected by prenatal ultrasonography at 20-we
ek gestation. A dwarfed fetus with large head, short neck and chest, promin
ent abdomen and short limbs was terminated transvaginally. Radiologic and h
istopathologic examination revealed features of mild form of achondrogenesi
s type II. Although the case had no known risk factor and the phenotypic ab
normality was mild, modern development in prenatal screening made the early
detection possible.