Limb reduction anomaly after failed misoprostol abortion

This is to our knowledge the first reported case in South Africa of limb reduction anomaly in a surviving infant following failed abortion. Limb reduction has been well described as a teratogenic effect of misoprostol administration. Although we do not have documentation of the sequence of events in early pregnancy, which were based on the history given by the patient, the typical nature of this unusual anomaly is highly suggestive of misoprostol teratogenicity.