Potter's Sequence
A 23-year-old woman, second gravida, of 35 weeks gestational age, delivered a stillborn male baby with spontaneous breech presentation. The baby weighed 1.5 kg. Placenta and membranes expelled with no liquor. Placenta was having marginal presentation, with normal fetal and maternal surfaces with complete cotyledons. Radiological examination of the baby revealed that there was absence of sacrum except first sacral vertebra, opaque lung fields, hypoplasia of right femur, absence of right fibula, and hypoplasia of right tibia with bowing []. Ultrasound examination showed non-visible kidneys, bladder, and severe oligohydramnios. Fetal autopsy was performed.\nOn autopsy, the following findings were noted. Typical Potter facies was noted which included flattened nose, recessed chin [], prominent bilateral epicanthal folds [], and low-set ears with wide pinna []. Umbilical cord showed only two vessels composed of single umbilical artery [].\nFurther examination revealed absence of anal opening and undeveloped genitalia []. There was also presence of short right lower limb, displacement of great toe, and congenital talipes equino varus (CTEV) []. Histopathologic examination of gonads showed hypoplastic gonads [Figure and ]. Lungs were hypoplastic and non-breathed [Figure and ]; heart, liver, and spleen were normal. Kidneys, urinary bladder, and rectum were not visualized.