Spondylocostal dysplasia in a neonate - An unusual association with maternal diabetes

A female neonate who was born as large for gestational age baby to a Diabetic mother had a continuous murmur in the left infraclavicular area with scolisis toward right and deficient ribs in the right side of her chest wall. She had a sacral dimple and a skin tag in the right lower back. Radiograph revealed hemivertebrae from T1-T6 level with absent third and seventh ribs and fused fourth, fifth and sixth ribs on the right side and a bifid right eigth rib. Echocardiogram revealed patent ductus arteriosus (PDA). Based on the above features she was diagnosed to have spondylocostal dysplasia. She was asymptomatic at the time of discharge.