[Addendum to: Diabetes and pregnancy—update 2020: Proposal for temporary changes to the recommendations for the diagnosis and care of pregnant women with diabetes during the COVID-19 pandemic]

[附录:糖尿病与妊娠——2020 年更新:关于 COVID-19 大流行期间妊娠期糖尿病患者诊断和护理建议的临时变更提案]

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Abstract

The limb-body wall complex (LBWC) aka body stalk syndrome is an uncommon congenital disorder characterized by severe malformations of limb, thorax, and abdomen, characterized by the presence of thoracoschisis, abdominoschisis, limb defects, and exencephaly. This condition is extremely rare with an incidence of 1 per 14,000 and 1 per 31,000 pregnancies in large epidemiologic studies. Majority of these malformed fetuses end up with spontaneous abortions. We present this rare case with occurrence in a preterm infant of 35 weeks' gestation. Our report highlights majority of the clinical presentations as reported in previous literature, but the significant pathological findings of absent genitalia and malformed genitourinary as well as anorectal malformations make this case presentation an even more rare occurrence. Infant karyotyping was normal male and there is no specific underlying genetic correlation in this condition which has a fatal prognosis.

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