A Case of Sirenomelia: A Mermaid Baby

Khalatkar, Pragati; Khalatkar, Vasant; Khalatkar, Aishwarya

doi:10.1007/s13224-018-1099-3

Cited by 3 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sirenomelia is a lethal congenital anomaly characterized by the fusion of lower limbs, pelvic bone abnormalities, imperforate anus, absent external genitalia, and renal agenesis [10,11]. In a literature review, it is found that approximately 300 cases have been reported worldwide, among which 14 belonged to India [12,13].…”

Section: Discussionmentioning

confidence: 99%

A rare case of sirenomelia

Gupta,

Randad,

Singh

et al. 2024

Indian J Case Reports

View full text Add to dashboard Cite

Sirenomelia also called mermaid syndrome is a congenital, rare, lethal, multisystemic human malformation of unknown etiology. The characteristic feature of sirenomelia is the fusion of the lower limbs, resulting in the appearance of a mermaid’s tail, and thus the name “mermaid syndrome.” This condition is also characterized by various severe urogenital abnormalities and the presence of a singular umbilical cord blood vessel, and it is more common in infants of diabetic mothers and in monozygotic twins. The incidence is around 1 in 60,000–70,000 pregnancies. The majority of affected fetuses are stillborn, whereas the rest of the live-born die in the early neonatal period due to complications of the gastrointestinal and urogenital systems. We are reporting a case of sirenomelia in a neonate born to an unregistered multipara mother. The baby had perinatal asphyxia, sirenomelia, dextrocardia, low set ears, lymphatic malformation, bilateral renal agenesis, absent external genitalia and anus, single umbilical artery, and congenital corneal clouding. There was no antenatal ultrasonography done and the baby died at 6 h of life.

show abstract

Section: Discussionmentioning

confidence: 99%

A rare case of sirenomelia

Gupta,

Randad,

Singh

et al. 2024

Indian J Case Reports

View full text Add to dashboard Cite

show abstract

“…Читайте нас на сайті: http://med-expert.com.ua Сиреномелія, яку також називають синдром русалки, або мальформація за типом русалки, відноситься до рідкісних вроджених мальформацій [7,16]. За даними різних джерел, ця вада зустрічається з частотою 0,98-1 на 100 000 новонароджених [5,9].…”

Section: клінічний випадокunclassified

Case of sirenomelia in one infant from twins

Hyzha¹,

Stenyk²,

Pereyaslov³

et al. 2020

View full text Add to dashboard Cite

Sirenomelia is extremely rare congenital malformation that characterized by the complete or incomplete fusion of the low extremities and associated by the various organs’ disorders, such as urinary system, which determined the poor outcome in these infants that died during antenatal or early neonatal period. Prenatal ultrasonography, especially during first-second trimester, permits to establish the presence of sirenomelia. Due to the rarity of this malformation, the own observation of first case of sirenomelia in one infant from twins is presented, which borne in Ukraine. Diagnosis of sirenomelia was established at the planned ultrasonographic screening of multigravida mother. After the birth, neonate with sirenomelia was transferred at the intensive care unit of Lviv regional children’s clinical hospital «OXMATDYT». At the first examination, the throughout fusion of lower extremities, the absent of one kidney, bladder, and external genitalia was revealed. With increasing signs of renal and respiratory failure baby died at 9 days after birth. Conclusions. Sirenomelia is extremely rare congenital malformation that associated with the high mortality during early neonatal period due to the presence of underlying congenital malformations, such as urinary system. Ultrasonography during the prenatal period is the screening methods for the diagnosis of this malformation. No conflict of interest was declared by the authors. Key words: sirenomelia, diagnostic, twins.

show abstract

Probability of Breech Presentation in Fetuses with Sirenomelia at Birth

Maričić,

Podgorac,

Kesić

et al. 2024

Clin. Exp. Obstet. Gynecol.

View full text Add to dashboard Cite

Background: The 50% maximum probability of breech presentation (BP) implies that the same number of fetuses/newborns with the same characteristics take either BP or cephalic presentation (CP) with equal probability. Sirenomelia offers the possibility to investigate the incidence of BP in the simultaneous presence of several medical entities, each associated with an increased incidence of BP (Potter anomaly, lower limb fusion, prematurity, additional medical entities). The aim of the study is to investigate the probability of BP at delivery in sirenomelic singleton gestations to confirm the rule that the maximum probability for BP is 50%. Methods: A systematic retrospective literature search using the keywords: sirenomelia, sympus apus, sympus monopus, and sympus dipus, in the SCOPUS database. Inclusion criteria: presentation of singleton fetuses at delivery in the second and third trimester of pregnancy. Comparison with chi-square test (level of significance p < 0.5) of overall incidence of BP and CP as well as depending on the type of sirenomelia, prematurity, presence of additional medical entities associated with increased incidence of BP. Results: In total, 67 articles were identified, and 83 cases were found. The number of cases in BP vs. CP with a statistical difference to expected 50%:50% distribution of presentations: All cases—BP44 CP39 p = 0.583; Premature birth—BP25 CP20 p = 0.456; Term birth—BP17 CP18 p = 0.866; Sympus apus—BP15 CP14 p = 0.853; Sympus monopus—BP6 CP9 p = 0.439; Sympus dipus—BP21 CP14 p = 0.237; With additional entities—BP16 CP10 p = 0.239; Without additional entities—BP23 CP26 p = 0.668. Also, there were no statistically significant differences in the distribution of presentations between premature and term birth (p = 0.589), three types of sirenomelia (p = 0.601), with and without additional entities (p = 0.228). Conclusions: This study supports the rule that the maximum probability for BP in any medical entity, including sirenomelia, is 50%. The outcome of the BP should be evaluated with the case-control matching procedure: subtract the number of fetuses/newborns from the CP group that is identical to the number of fetuses/newborns in the BP group, with identical characteristics, and add this group to the BP group before comparing them to the rest of the CP fetuses/newborns.

show abstract

A Case of Sirenomelia: A Mermaid Baby

Cited by 3 publications

References 6 publications

A rare case of sirenomelia

A rare case of sirenomelia

Case of sirenomelia in one infant from twins

Probability of Breech Presentation in Fetuses with Sirenomelia at Birth

Contact Info

Product

Resources

About