Congenital Asymmetrical Multiple Limb Deficiency in 1-Year-Old Male Child: A Case Report.

Introduction: Congenital limb deficiency is an uncommon musculoskeletal anomaly that may occur as an isolated defect or as part of a syndrome. It can present as transverse or longitudinal deficiency and may involve one or multiple limbs. Case Report: A 1-year-old male child was brought to the outpatient department with congenital deficiencies involving both upper and lower limbs. He was the third child of non-consanguineous parents, born at full term by normal vaginal delivery with assistance from a local birth attendant. Antenatal care was inadequate, with only two antenatal visits and one ultrasonographic examination. Clinical examination revealed asymmetrical multiple limb deficiencies affecting all four limbs, associated with right foot syndactyly and lower dorsal scoliosis. Radiographs confirmed a combination of transverse and longitudinal limb deficiencies. Conclusion: This case describes a rare presentation of congenital asymmetrical multiple limb deficiency involving all four limbs, with mixed transverse and longitudinal deficiencies. This case highlights the importance of antenatal checkup and anomaly scans in the early diagnosis and counseling of congenital anomalies.