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Published on: February 5, 2019
Case Report: Gollop-Wolfgang Complex in a 5 month old baby
Ihtesham A Qureshi1, Rohit Kumar Gudepu1, Ravikanth Chava1
1Division of Community Studies, National Institute of Nutrition, Indian Council of Medical Research, Hyderabad, 500 007, India.
Insights
This study details a rare case of Gollop-Wolfgang Complex (GWC), a limb malformation disorder, in a 5-month-old Indian infant. The infant presented with unique skeletal abnormalities including femur bifurcation and sacrococcygeal agenesis.
Area of Science:
- Medical Genetics
- Orthopedics
- Developmental Biology
Background:
- Skeletal dysplasias encompass a group of generalized skeletal abnormalities.
- Gollop-Wolfgang Complex (GWC) is a rare limb deficiency disorder with diverse clinical presentations.
Purpose of the Study:
- To report a unique case of Gollop-Wolfgang Complex in a 5-month-old male infant from India.
- To document the specific limb and skeletal malformations observed in this case.
- To discuss the potential etiology and clinical significance of this unusual presentation.
Main Methods:
- Clinical examination of the infant.
- Radiographic imaging (X-rays) to assess skeletal structures.
- Detailed documentation of all observed malformations.
Main Results:
- The infant presented with right femur bifurcation, bilateral ectrodactyly of feet, left hand ectrodactyly, right hand syndactyly.
- Unusual findings included bilateral fibular agenesis and sacrococcygeal agenesis.
- The presentation deviated significantly from typical GWC manifestations.
Conclusions:
- This case highlights the extreme variability of Gollop-Wolfgang Complex.
- The combination of limb malformations and agenesis suggests a complex developmental etiology.
- Spontaneous gene mutation is a potential cause for this GWC presentation.
Abstract:
Skeletal dysplasias are disorders associated with a generalized abnormality in the skeleton. The Gollop-Wolfgang complex (GWC) is a limb deficiency disorder and an unusual limb malformation with highly variable manifestations. Here we report an interesting case of a 5-month old male baby from India with Gollop-Wolfgang Complex showing bifurcation of the right femur, ectrodactyly of both feet, ectrodactyly of left hand, syndactyly of right hand and unusual presentation of bilateral fibular agenesis and caudal (Sacrococcygeal) agenesis. The etiology of GWC in this 5 month old male baby could possibly be attributed to spontaneous gene mutation. The clinical, radiographic findings and the unusual presentation are presented in detail.
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