Mermaid in Pathology from Greek Mythology: A Rare Association with Amelia
Sirenomelia, also known as mermaid syndrome, is a rare congenital anomaly, with an incidence of 1 in 100,000 live births. It is characterized by variable degrees of fusion of the lower limbs and anomalies of the genitourinary system and gastrointestinal system. We report a 24-week fetus with complet...
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Wolters Kluwer Medknow Publications
2024-12-01
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Series: | Archives of Medicine and Health Sciences |
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Online Access: | https://journals.lww.com/10.4103/amhs.amhs_299_23 |
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author | Chikkanaganna P. Manjula Vijay Karthik Pranav V. Kusuma Shilpashree Varadaraj |
author_facet | Chikkanaganna P. Manjula Vijay Karthik Pranav V. Kusuma Shilpashree Varadaraj |
author_sort | Chikkanaganna P. Manjula |
collection | DOAJ |
description | Sirenomelia, also known as mermaid syndrome, is a rare congenital anomaly, with an incidence of 1 in 100,000 live births. It is characterized by variable degrees of fusion of the lower limbs and anomalies of the genitourinary system and gastrointestinal system. We report a 24-week fetus with completely fused lower limbs, absent left upper limb, and Potter’s facies. Absent external genitalia, imperforate anus, bilateral renal agenesis, blind intestinal loop, and single umbilical artery were other findings. X-ray imaging confirmed the fused lower limb bones and was typed as sympus apus or sirenomelia, Type VII of the Stocker and Heifetz classification. Caudal hypoperfusion due to the aberrant blood supply and an embryologic insult to the caudal mesoderm along with gestational diabetes play a role. Sirenomelia is not compatible with life in the majority of the cases as there is bilateral renal agenesis. It is a very rare congenital anomaly among the mermaid syndromes, hence requires documentation. |
format | Article |
id | doaj-art-99b4fec8c43048fdbdb6245282678cf2 |
institution | Kabale University |
issn | 2321-4848 2321-6085 |
language | English |
publishDate | 2024-12-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Archives of Medicine and Health Sciences |
spelling | doaj-art-99b4fec8c43048fdbdb6245282678cf22025-01-07T05:05:32ZengWolters Kluwer Medknow PublicationsArchives of Medicine and Health Sciences2321-48482321-60852024-12-0112340941210.4103/amhs.amhs_299_23Mermaid in Pathology from Greek Mythology: A Rare Association with AmeliaChikkanaganna P. ManjulaVijay Karthik PranavV. KusumaShilpashree VaradarajSirenomelia, also known as mermaid syndrome, is a rare congenital anomaly, with an incidence of 1 in 100,000 live births. It is characterized by variable degrees of fusion of the lower limbs and anomalies of the genitourinary system and gastrointestinal system. We report a 24-week fetus with completely fused lower limbs, absent left upper limb, and Potter’s facies. Absent external genitalia, imperforate anus, bilateral renal agenesis, blind intestinal loop, and single umbilical artery were other findings. X-ray imaging confirmed the fused lower limb bones and was typed as sympus apus or sirenomelia, Type VII of the Stocker and Heifetz classification. Caudal hypoperfusion due to the aberrant blood supply and an embryologic insult to the caudal mesoderm along with gestational diabetes play a role. Sirenomelia is not compatible with life in the majority of the cases as there is bilateral renal agenesis. It is a very rare congenital anomaly among the mermaid syndromes, hence requires documentation.https://journals.lww.com/10.4103/amhs.amhs_299_23ameliamermaid syndromepotters faciesrenal agenesis |
spellingShingle | Chikkanaganna P. Manjula Vijay Karthik Pranav V. Kusuma Shilpashree Varadaraj Mermaid in Pathology from Greek Mythology: A Rare Association with Amelia Archives of Medicine and Health Sciences amelia mermaid syndrome potters facies renal agenesis |
title | Mermaid in Pathology from Greek Mythology: A Rare Association with Amelia |
title_full | Mermaid in Pathology from Greek Mythology: A Rare Association with Amelia |
title_fullStr | Mermaid in Pathology from Greek Mythology: A Rare Association with Amelia |
title_full_unstemmed | Mermaid in Pathology from Greek Mythology: A Rare Association with Amelia |
title_short | Mermaid in Pathology from Greek Mythology: A Rare Association with Amelia |
title_sort | mermaid in pathology from greek mythology a rare association with amelia |
topic | amelia mermaid syndrome potters facies renal agenesis |
url | https://journals.lww.com/10.4103/amhs.amhs_299_23 |
work_keys_str_mv | AT chikkanagannapmanjula mermaidinpathologyfromgreekmythologyarareassociationwithamelia AT vijaykarthikpranav mermaidinpathologyfromgreekmythologyarareassociationwithamelia AT vkusuma mermaidinpathologyfromgreekmythologyarareassociationwithamelia AT shilpashreevaradaraj mermaidinpathologyfromgreekmythologyarareassociationwithamelia |