Rare Case Report of Sirenomelia: The Mermaid Baby
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 12
Abstract
Introduction: Sirenomelia or MERMAID BABY is rare syndrome characterized by fusion of lower limbs, urogenital and gastrointestinal tract malformations, Potter’s facies and pulmonary hypoplasia. The incidence is 0.8-1 case/100,000 births with male to female ratio being 3:1. Case report: A 30 year old G2P1L1 with 34 weeks of gestational age with previous one vaginal delivery was admitted in labor room in second stage of labor. She was from poor socioeconomic background with no antenatal care or investigations except ultrasound indicating intrauterine fetus of 25 weeks with severe oligohydraminos (AFI 3). There was history of tobacco intake. Her pregnancy was uneventful with no history of medical disorder in mother or congenital anomaly in family. Husband was 42 years old. A 1.5 kg baby with single fused lower limbs was delivered. The infant had Potter’s facies, narrow chest, fused lower limbs with a single femur and an incomplete tibia with no foot. Tibia flexed anteriorly. External genitalia and anal opening were absent, and umbilical cord had single umbilical artery. The baby died within 45 min postbirth. X-rays revealed lower limbs were fused completely into single limb and one femur and one tibia were seen. Ultrasound abdomen showed absence of both kidneys, urinary bladder and stomach. Normal four chambered heart was seen with patent ductus arteiosus. Autopsy was declined by the parents. Intrapartum and the postpartum period of mother was uneventful. Conclusion: Sirenomelia is a rare and lethal congenital anomaly. Our case belonged to Type VI of Stocker and Heifetz Sirenomeliac infants classification.
Authors and Affiliations
Sonal Prasad, J Anupama
Keywords
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