We herein report the first ultrasound evidence of the self-amputation of an extra digit in case of fetal polydactyly. The prenatal evidence of fetal polydactyly is not always followed by postnatal confirmation. This is not always due to ultrasound misdiagnosis, but often to an in utero self-amputation phenomenon. We demonstrate that there is the detachment of part of the digit, leading to the evidence of a neonatal bump on the site of the prenatal extra digit. This demonstration has been possible by the direct visualization of the remnant by ultrasound.

1.
Superti-Furga A, Unger S: Nosology and classification of genetic skeletal disorders: 2006 revision. Am J Med Genet A 2007;143:1-18.
2.
Zimmer EZ, Bronshetein M: Fetal polydactyly diagnosis during early pregnancy: clinical applications. Am J Obstet Gynecol 2000;183:755-758.
3.
Talamillo A, Bastida MF, Fernandez-Teran M, Ros MA: The developing limb and the control of the number of digits. Clin Genet 2005;67:143-153.
4.
Bromley B, Shipp TD, Benacerraf B: Isolated polydactyly: prenatal diagnosis and perinatal outcome. Prenat Diagn 2000;20:905-908.
5.
Carpenter CL, Cuellar TA, Friel MT: Office-based post-axial polydactyly excision in neonates, infants, and children. Plast Reconstr Surg 2016;137:564-568.
6.
Dicke JM, Piper SL, Goldfarb CA: The utility of ultrasound for the detection of fetal limb abnormalities - a 20-year single-center experience. Prenat Diagn 2015;35:348-353.
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