Anatophoric dysplasia (TD) is a rare and lethal skeletal dysplasia with an estimated incidence of 1 in 20000 to 40000 births

TD can be classi ed into two types: type I is characterized by micromelia with bowed femurs and, uncommonly, the presence of cloverleaf skull deformity; type II is characterized by micromelia with straight femurs and moderate to severe cloverleaf skull deformity

A common feature to both types is the presence of a narrow thorax which causes respiratory failure shortly a er birth

A 400g female fetus was delivered dead at 20 weeks and 2 days of gestation. All limbs were noted to be extremely short with redundant skin folds.