We describe a case of body stalk anomaly which was diagnosed at 10 weeks of
gestation on a dating scan. The fetus was visualized within the exocelomic
cavity outside an apparently intact amniotic membrane. The fetus displayed
multiple anomalies characteristic of body stalk syndrome including a skull
and brain defect, abdominal wall defect, Kyphoscoliosis and gross deformit
ies of the lower limbs. These findings do not support early amniotic membra
ne rupture as the primary evens in the pathogenesis of body stalk anomaly a
nd indicate that the exocelomic location of the fetus may actually be one o
f the features of this complex developmental anomaly.