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Epignathus (oral teratoma), an extremely rare congenital tumour is generally known as an isolated anomaly with benign histology. We present a case of epignathus detected prenataliy in an oligohydramniotic 24 week fetus in which anophthalmia, a single nostril, holoprosencephaly. meromelia, bilateral renal dysplasia and a club fool deformity were also prevent Chromosome analysis revealed trisomy 13.