Two high pressure conundrums and a possible congenital link

Although antenatal care and diagnosis have improved and many abnormalities are now anticipated infants are still born that pose diagnostic conundrums. We present one such scenario with complex diagnostic and management challenges. Emily was born at 35+6 weeks. This was the first pregnancy for her 19-year-old mum who had no significant medical or obstetric history. She was known to fetal medicine because of fetal growth retardation, with an estimated fetal weight at 33+4 weeks below the third percentile. Following a 3-week period of static growth labour was induced for fetal wellbeing. Shortly after induction following fetal bradycardia Emily was delivered by caesarean section. Emily weighed 1.58 kg (