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Article ; Online: Sirenomelia or “mermaid syndrome”

Qodri Santosa / Setya Dian Kartika / Irwan Nuryadin / Alfi Muntafiah

Paediatrica Indonesiana, Vol 63, Iss 1, Pp 45-

an extremely rare case in Indonesiasia

2023  Volume 50

Abstract: Sirenomelia, also known as mermaid syndrome, is a very rare lethal congenital disorder with multisystem malformations, characterized by fusion of the lower limbs. Here we report a preterm neonate with fusion of the lower limbs. The baby was born by ... ...

Abstract Sirenomelia, also known as mermaid syndrome, is a very rare lethal congenital disorder with multisystem malformations, characterized by fusion of the lower limbs. Here we report a preterm neonate with fusion of the lower limbs. The baby was born by cesarean section to a 27-year-old primigravida mother at 35 weeks and 3 days’ gestation. There was no maternal history of hypertension, heart disease, asthma, or diabetes mellitus. At birth, the infant did not cry, had weak tone, a heart rate (HR) of <60 beats per minute (BPM), an Apgar score of 1/2, and a birth weight of 2,300 grams. The infant had an imperforate anus and no urogenital openings or external genitalia. There was a small penis-like protrusion without an aperture, such as in cases of ambiguous genitalia. The two lower limbs were fused, with five toes on each foot. Despite neonatal resuscitation, the infant died within 75 minutes of birth. The child was diagnosed with sirenomelia. This case report aims to emphasize the importance of early prenatal diagnosis and education of the patient’s family.
Keywords case report ; congenital anomaly ; lethal ; lower limb fusion ; mermaid syndrome ; sirenomelia ; Medicine ; R ; Pediatrics ; RJ1-570
Subject code 610
Language English
Publishing date 2023-03-01T00:00:00Z
Publisher Indonesian Pediatric Society Publishing House
Document type Article ; Online
Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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