Sirenomelia of Postnatal Diagnosis about a Fresh Stillborn

Dr. Md. Hasan Moshiur Shawon, Dr. Md. Romzan Ali, Dr. Ishtiaq Ahmed, Dr. Rajib Paik and Dr. Subrata Roy
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Dr. Md. Hasan Moshiur Shawon: MBBS, MD (Pediatrics), Junior Consultant, District Hospital, Pirojpur, Bangladesh
Dr. Md. Romzan Ali: MBBS, Medical officer, District Hospital, Pirojpur, Bangladesh
Dr. Ishtiaq Ahmed: MBBS, Medical officer, District Hospital, Pirojpur, Bangladesh
Dr. Rajib Paik: MBBS, DCH, Medical officer, District Hospital, Pirojpur, Bangladesh
Dr. Subrata Roy: MBBS, FCPS (Pediatrics), MD (Pediatric Nephrology), Senior Consultant Pirojpur District Hospital, Pirojpur, Bangladesh

International Journal of Research and Scientific Innovation, 2024, vol. 11, issue 15, 510-515

Abstract: Sirenomelia is a sporadic and regularly lethal birth defect characterized by the partial or complete fusion of the lower limbs, genitourinary anomalies, and pulmonary malformations. The exact causes are unknown, but several risk factors have been identified, including maternal diabetes mellitus, teratogenic medicines, inheritable vulnerability, vascular hypoperfusion, cocaine use, exposure to tip water, and maternal age being less than 20 years or greater than 40 years. A preterm (35-weeker) low birth weight (2300 gm) baby was born from a 30-year-old non-consanguineous mother via cesarean section. The child had melded lower appendages with 10 toes, missing outside genitalia, and a single umbilical supply route. The baby was passed away after 30 minutes of birth. We could not find any risk factor for sirenomelia in this case. We recommend an early routine ultrasound anomaly scan in all pregnant women particularly for early detection and termination of pregnancy as the prognosis is guarded.

Date: 2024
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