The present report describes two fetuses, one female and one male, with thu
s far undescribed skeletal malformations, The mother was a gravida 2, para
0. Both pregnancies were terminated in the second trimester because of mult
iple congenital anomalies diagnosed ultrasonographically resembling a short
rib-polydactyly syndrome. Both fetuses were found to have postaxial hexada
ctyly of the hands and feet, marked bilateral campomelia of the forearm and
shank bones, and a Dandy-Walker cyst. In addition, the fourth ventricle wa
s dilated in the first sibling and the second sibling had an inverse intest
inal malrotation. A literature search failed to reveal similar observations
. Copyright (C) 2001 John Wiley & Sons, Ltd.