A 2-year-old boy was followed at a tertiary paediatric centre for a congenital lumbar ulcerated skin lesion. First-and secondtrimester ultrasounds were normal, while in the third trimester, aImage 1 Presentation at the first appointment (6-month-old).
The paediatricians were called to the delivery room by the obstetricians to review a newborn boy, of a non-consanguineous marriage, after a full-term unremarkable pregnancy. He was born at term by forceps-assisted vaginal delivery. The obstetrician discovered unilateral loss of palpebral tissue (Fig. 1) and was concerned as to whether this was a lid laceration due to the forceps-assisted delivery. What do you think was the most likely cause? (Answer on page 1180
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