Pregnancy with Unusual Combination of Congenital Anomalies in Fetus

This case report described an unusual combination of congenital defects such as meningocele with gastroschisis and talipes equinovarus in a fetus at 18 weeks of pregnancy. Meningocele is the cystic dilatation of the meninges retaining cerebrospinal fluid through a neural tissue-free vertebral column. Diagnostic evaluation through ultrasonography revealed a large meningocele formation measuring 53 mm × 50 mm, additionally with an evidence of nearly complete absence of the anterior abdominal wall with herniation of the stomach, liver, kidneys, and bowel loops, and the left foot appeared oblique in orientation to the leg, suggestive of talipes equinovarus. These conditions are often identified in the first 3 months of pregnancy, but this instance was identified at 18 weeks, emphasizing the need for close monitoring and evaluation during the antenatal phase. Later on, the mother received genetic counseling and pregnancy was terminated. However, the coexistence of these anomalies is extremely rare. Hence, we described this unusual combination of congenital anomalies in a fetus.