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2 / 100, 000 births) and mostly lethal congenital anomaly characterized by fusion of lower extremities or single lower limb, bilateral renal agenesis with absent or hypoplastic renal arteries, oligohydramnios, absence of urinary bladder and rectum, imperforate or absent anus, blind colon, absent internal and external genitalia, lumbosacral vertebral anomalies.
In sirenomelic fetus, bilateral renal agenesis causes severe oligohydramnios thus limiting proper evaluation of limbs in second and third trimester.
USG of the abortus revealed bilateral renal agenesis.
Classic Potter Syndrome occurs when the developing fetus has bilateral renal agenesis, where as type-i due to autosomal recessive polycystic kidney disease (ARPKD).

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