%0 Journal Article %T When all that should close remains open: a tale of gastroschisis, exstrophy of bladder, spina bifida and limb defects. %A Agarwal N %A Anand R %A Jindal A %J BMJ Case Rep %V 17 %N 8 %D 2024 Aug 8 %M 39122373 暂无%R 10.1136/bcr-2024-261404 %X A primigravida in the extremist-affected region of a third-world nation gave birth to a newborn who was remotely consulted through video rounds from the capital of the state. Unfortunately, these abnormalities are often overlooked and left untreated. The baby had multiple limb defects, gastroschisis, exstrophy of the bladder and spina bifida. Tragically, the newborn did not survive due to the lack of clinical and surgical expertise in the area. It is crucial to emphasise the importance of establishing e-clinics for expectant mothers in underserved areas, providing them with access to high-quality anomaly scans.