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
Related Articles
- EP ID EP424236
- DOI -
- Views 139
- Downloads 0
Successful Anaesthetic Management of a Patient with Post Burn Contracture and Difficult Airway: A Case Report
Introduction: A post burn patient with contracture involving the orofascial tissues was posted for contracture release and skin grafting. Due to extensive scarring of orofascial tissues, the mouth opening was very less a...
Serum Ferritin Level - A Predictor of Hemorrhagic Transformation in Acute Ischaemic Stroke
Introduction: Hemorrhagic transformation (HT) in acute ischemic stroke (AIS) is associated with significant morbidity and mortality. High serum ferritin has been claimed to be associated with HT. This study investigated...
Vitamin D Deficiency & Low Serum Calcium Levels in Hypothyroid Patients
Introduction: Vitamin D deficiency prevails in epidemic proportion all over Indian sub continent. The role of vitamin D as a immune modulator has been emphasized in recent years. Low levels of Vitamin D were observed in...
Morphology of Caecum in Human Fetuses at Different Gestational Ages
Introduction: Limited information is available on developmental morphology of human fetal caecum. Embryologically, the caecal swelling appears as a small conical dilation of the caudal limb of primitive intestinal loop a...
Intrathecal Clonidine as an Adjuvant to Hyperbaric Bupivacaine: A Dose - Response Study
Introduction: Clonidine, an α2 agonist, prolongs the action of local anaesthetic and provides satisfactory postoperative analgesia when administered intrathecally. Study aimed to compare the effects between two doses of...