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A healthy 25-year-old primigravida, without a history of teratogenic exposition, presented to our hospital with a first trimester routine ultrasonographic examination showing two major fetal defects: gastrosquisis (figure 1 and video 1) and ectopia cordis (video 2). At 16 weeks of gestation a detailed ultrasound confirmed the suspected abnormalities together with sternal and diaphragm defects, and pentalogy of Cantrell was suspected. An amniocentesis and termination of the pregnancy were considered and accepted by the couple. After expulsion, we identified a dead fetus (figure 2 …