Unravelling complexity: simultaneous detection of fetal omphalocele and myelomeningocele misdiagnosed as sacrococcygeal teratoma

Targeted imaging for fetal anomalies (TIFFA) is an important antenatal ultrasound scan to detect any congenital anomalies in the growing fetus, and the results assist the clinician to make the required decision for the remainder of pregnancy. The scan totally depends on the operator and his/her skills to pick up an abnormality correctly. If the ultrasound scan is not performed accurately with proper precision and focus, then many anomalies can be missed or even misdiagnosed potentially. Therefore, it is pertinent to pay specific attention to details and devote a dedicated time to each and every TIFFA scan for the thorough and correct evaluation to prevent any mistake. Our case highlights one such example of an incomplete and misdiagnosed congenital abnormality, detected outside, which was ultimately proven to be a completely different congenital anomaly along with the presence of another synchronous abnormality, all detected together at our institute.