Title: Sirenomelia Apus – A Case Report
Authors: Kanagagiri, Suryaprakash, Y Tomba Singh, Kharibam Sundeep Singh
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.113
Abstract
Sirenomelia (mermaid syndrome) an extreme example of caudal regression syndrome is a very rare congenital foetal anomaly which invariably presents with lower limb fusion, sacral and pelvic bony anomalies, absent external genitalia, imperforate anus, and renal agenesis or dysgenesis. There are approximately 300 cases reported in the literature. This syndrome is incompatible with life due to the association of several congenital visceral abnormalities. Our case was a live born, normally delivered at term by a 32-year-old second gravida of lower socioeconomic status with overt diabetes mellitus. Examination of the baby revealed caudal dysgenesis having fusion of lower limbs, single lower tapering web like lower extremity with no feet and absence of external genitalia and anus. The baby died minutes after birth and we report this case due to its rarity and term live birth.
Keywords: sirenomelia, caudal regression syndrome, lower limb fusion, maternal diabetes mellitus.
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