POTTER’S SEQUENCE

These features are secondary to prolonged oligohydramnios secondary to bilateral renal agenesis, or anomalies in which the kidneys are present but there is an obstructed urethra, prolonged rupture of membranes, or severe growth retardation (1).

• Hypoplasia of the lungs.
• Bladder hypoplasia.
• Potter's facies.
• Flattened nose.
• Parrot-beaked nose.
• Recessed chin.
• Epicanthic folds.
• Wrinkled redundant skin.
• Skin crease - curves around inner canthus of eye and runs laterally over the cheek.
• Low set ears (helices often folded).
• Hypertelorism.
• Brachycephaly.
• Limb deformities.
• Bowing of the legs.
• Clubbed feet.
• Broad hands.
• Growth retardation.
• Vernix nodules (amnion nodosum) on placental membranes.

REFERENCES

1. Rosenberg ER, Bowie JD. Failure of furosemide to induce diuresis in growth-retarded fetus. AJR 1984;142:485.