Abstract
A black primigravida aged 21 years was first seen at the University of Illinois Hospital at the twentieth week of gestation complain— ing of mild vaginal hemorrhage and abdom— inal discomfort. She gave no history of trauma at any time during her pregnancy. Breech presentation and a posterior placenta previa were diagnosed by sonography. A stillborn male infant was delivered spontaneously three days later following further hemorrhage. Gross Autopsy Findings The body was that ofa preterm male infant weighing 555.0 gm and measuring 22.0 cm crown—rump. There was overriding of the skull bones and marked edema of the head and face. A complete right unilateral cleft lip and palate was observed. The nasal septum was displaced toward the left; the left lip, alveolar process, and anterior one-third of the hard palate were intact. There was a cleft in the posterior two thirds of the hard palate extending for its anterior attachment to the primary palate. The mandible was intact though small and displaced somewhat back— ward (Figures 1 and 2). The right leg was missing below the knee, the distal phalanges of the left foot and left hand were also missing as were the medial three fingers of the right hand above the metacarpophalangealjoints (Figures 3, 4, and 5). A string of desiccated brown material was attached to the left hand and another to the left foot. A sharp piece of necrotic bone mea— Dr, Rowlatt is Associate Professor,
This archive is hosted by the University Library System, University of Pittsburgh.