Sirenomelia or “mermaid syndrome”: an extremely rare case in Indonesiasia

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 moth...

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Main Authors: Qodri Santosa, Setya Dian Kartika, Irwan Nuryadin, Alfi Muntafiah
Format: Article
Language:English
Published: Indonesian Pediatric Society Publishing House 2023-03-01
Series:Paediatrica Indonesiana
Subjects:
Online Access:https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2454
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author Qodri Santosa
Setya Dian Kartika
Irwan Nuryadin
Alfi Muntafiah
author_facet Qodri Santosa
Setya Dian Kartika
Irwan Nuryadin
Alfi Muntafiah
author_sort Qodri Santosa
collection DOAJ
description 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.
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spelling doaj.art-d3b6ecc7db094dc69fc564f8fccb428a2023-03-10T07:49:41ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2023-03-01631455010.14238/pi63.1.2023.45-502454Sirenomelia or “mermaid syndrome”: an extremely rare case in IndonesiasiaQodri Santosa0Setya Dian Kartika1Irwan Nuryadin2Alfi Muntafiah3Department of Child Health, Universitas Jenderal Soedirman Medical School/Margono Soekarjo Hospital/Ananda Hospital, Purwokerto, Central JavaDepartment of Obstetrics & Gynecology, Universitas Jenderal Soedirman Medical School/Margono Soekarjo Hospital/Ananda Hospital, Purwokerto, Central JavaAnanda Hospital, Purwokerto, Central JavaDepartment of Biochemistry, Universitas Jenderal Soedirman Medical School, Purwokerto, Central JavaSirenomelia, 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.https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2454case report; congenital anomaly; lethal; lower limb fusion; mermaid syndrome; sirenomelia
spellingShingle Qodri Santosa
Setya Dian Kartika
Irwan Nuryadin
Alfi Muntafiah
Sirenomelia or “mermaid syndrome”: an extremely rare case in Indonesiasia
Paediatrica Indonesiana
case report; congenital anomaly; lethal; lower limb fusion; mermaid syndrome; sirenomelia
title Sirenomelia or “mermaid syndrome”: an extremely rare case in Indonesiasia
title_full Sirenomelia or “mermaid syndrome”: an extremely rare case in Indonesiasia
title_fullStr Sirenomelia or “mermaid syndrome”: an extremely rare case in Indonesiasia
title_full_unstemmed Sirenomelia or “mermaid syndrome”: an extremely rare case in Indonesiasia
title_short Sirenomelia or “mermaid syndrome”: an extremely rare case in Indonesiasia
title_sort sirenomelia or mermaid syndrome an extremely rare case in indonesiasia
topic case report; congenital anomaly; lethal; lower limb fusion; mermaid syndrome; sirenomelia
url https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2454
work_keys_str_mv AT qodrisantosa sirenomeliaormermaidsyndromeanextremelyrarecaseinindonesiasia
AT setyadiankartika sirenomeliaormermaidsyndromeanextremelyrarecaseinindonesiasia
AT irwannuryadin sirenomeliaormermaidsyndromeanextremelyrarecaseinindonesiasia
AT alfimuntafiah sirenomeliaormermaidsyndromeanextremelyrarecaseinindonesiasia