Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2011

Open Access 01-12-2011 | Case report

Sirenomelia in a Nigerian triplet: a case report

Published in: Journal of Medical Case Reports | Issue 1/2011

Login to get access

Abstract

Introduction

Sirenomelia, also known as mermaid syndrome, is a very rare fatal congenital abnormality in which the legs are fused together, giving them the appearance of a mermaid's tail. It is commonly associated with abnormal kidney development, genital and rectal abnormalities. A handful of cases have been reported in other parts of the world, however, no cases have previously been reported in a Nigerian neonate. To the best of our knowledge, we believe that this is the first case reported from West Africa and in a triplet.

Case presentation

A 16-hour-old baby boy, the second of a set of Nigerian triplets, presented to our facility with fusion of the entire lower limbs, imperforate anus, indiscernible genital structures, single umbilical artery and a neural tube defect. His parents were from the Hausa ethnic group and not related.

Conclusion

Sirenomelia has not been previously described in a set of triplets, and it is hoped that this report from West Africa will give information about the non-racial predilection of this condition.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kallen B, Castilla EE, Lancaster PA, Mutchinick O, Knudsen LB, Martinez-Frias ML, Mastroiacovo P, Robert E: The cyclops and the mermaid: an epidemiological study of two types of rare malformation. J Med Genet. 1992, 29: 30-35. 10.1136/jmg.29.1.30.CrossRefPubMedPubMedCentral Kallen B, Castilla EE, Lancaster PA, Mutchinick O, Knudsen LB, Martinez-Frias ML, Mastroiacovo P, Robert E: The cyclops and the mermaid: an epidemiological study of two types of rare malformation. J Med Genet. 1992, 29: 30-35. 10.1136/jmg.29.1.30.CrossRefPubMedPubMedCentral
2.
go back to reference Taori KB, Mitra K, Ghonga NP, Gandhi RO, Mammen T, Sahu J: Sirenomelia sequence (mermaid): report of three cases. Indian J Radiol Imaging. 2002, 12: 399-401. Taori KB, Mitra K, Ghonga NP, Gandhi RO, Mammen T, Sahu J: Sirenomelia sequence (mermaid): report of three cases. Indian J Radiol Imaging. 2002, 12: 399-401.
3.
go back to reference Assimakopoulos E, Athanasiadis A, Zafrakas M, Dragoumis K, Bontis J: Caudal regression syndrome and sirenomelia in only one twin in two diabetic pregnancies. Clin Exp Obstet Gynecol. 2004, 31: 151-153.PubMed Assimakopoulos E, Athanasiadis A, Zafrakas M, Dragoumis K, Bontis J: Caudal regression syndrome and sirenomelia in only one twin in two diabetic pregnancies. Clin Exp Obstet Gynecol. 2004, 31: 151-153.PubMed
4.
go back to reference Goodlow OG, McCoy Sibley RI, Allen BG, Kamanda WS, Gullattee AC, Rayfield WC: Sirenomelia: mermaid syndrome. J Nat Med Assoc. 1988, 80: 343-346. Goodlow OG, McCoy Sibley RI, Allen BG, Kamanda WS, Gullattee AC, Rayfield WC: Sirenomelia: mermaid syndrome. J Nat Med Assoc. 1988, 80: 343-346.
5.
go back to reference Browne M, Fitchev P, Adley B, Crawford SE: Sirenomelia with an angiomatous lumbosacral myelocystocele in a full-term infant. J Perinatol. 2004, 24: 329-331. 10.1038/sj.jp.7211085.CrossRefPubMed Browne M, Fitchev P, Adley B, Crawford SE: Sirenomelia with an angiomatous lumbosacral myelocystocele in a full-term infant. J Perinatol. 2004, 24: 329-331. 10.1038/sj.jp.7211085.CrossRefPubMed
7.
go back to reference Stanton MP, Penington EC, Hutson JM: A surviving infant with sirenomelia (Mermaid syndrome) associated with absent bladder. J Pediatr Surg. 2003, 38: 1266-1268. 10.1016/S0022-3468(03)00286-0.CrossRefPubMed Stanton MP, Penington EC, Hutson JM: A surviving infant with sirenomelia (Mermaid syndrome) associated with absent bladder. J Pediatr Surg. 2003, 38: 1266-1268. 10.1016/S0022-3468(03)00286-0.CrossRefPubMed
8.
go back to reference Clarke LA, Stringer DA, Fraser GC, Yong SL: Long term survival of an infant with sirenomelia. Am J Med Genet. 1993, 45: 292-296. 10.1002/ajmg.1320450303.CrossRefPubMed Clarke LA, Stringer DA, Fraser GC, Yong SL: Long term survival of an infant with sirenomelia. Am J Med Genet. 1993, 45: 292-296. 10.1002/ajmg.1320450303.CrossRefPubMed
9.
go back to reference Guven MA, Uzel M, Ceylaner S, Coskun A, Ceylaner G, Gungoren A: A prenatally diagnosed case of sirenomelia with polydactyly and vestigial tail. Genet Couns. 2008, 19: 419-424.PubMed Guven MA, Uzel M, Ceylaner S, Coskun A, Ceylaner G, Gungoren A: A prenatally diagnosed case of sirenomelia with polydactyly and vestigial tail. Genet Couns. 2008, 19: 419-424.PubMed
10.
go back to reference Nylander PPS: Ethnic differences in twinning rates in Nigeria. J Biosoc Sci. 1971, 3: 151-158.PubMed Nylander PPS: Ethnic differences in twinning rates in Nigeria. J Biosoc Sci. 1971, 3: 151-158.PubMed
11.
go back to reference Tanha FD, Googol N, Kaveh M: Sirenomelia (mermaid syndrome) in an infant of a diabetic mother. Acta Medica Iranica. 2003, 41: 69-72. Tanha FD, Googol N, Kaveh M: Sirenomelia (mermaid syndrome) in an infant of a diabetic mother. Acta Medica Iranica. 2003, 41: 69-72.
12.
go back to reference Kadian YS, Duhan N, Rattan KN, Rawal M: Sirenomelia (mermaid syndrome): a rare anomaly. Afr J Paediatr Surg. 2008, 5: 105-106. 10.4103/0189-6725.44190.CrossRefPubMed Kadian YS, Duhan N, Rattan KN, Rawal M: Sirenomelia (mermaid syndrome): a rare anomaly. Afr J Paediatr Surg. 2008, 5: 105-106. 10.4103/0189-6725.44190.CrossRefPubMed
13.
go back to reference Stevenson RE, Jones KL, Phelan MC, Jones MC, Barr M, Clericuzio C: Vascular steal: the pathogenetic mechanism producing sirenomelia and associated defects of the viscera and soft tissues. Pediatrics. 1986, 78: 451-457.PubMed Stevenson RE, Jones KL, Phelan MC, Jones MC, Barr M, Clericuzio C: Vascular steal: the pathogenetic mechanism producing sirenomelia and associated defects of the viscera and soft tissues. Pediatrics. 1986, 78: 451-457.PubMed
14.
go back to reference Van Keirsbilck J, Cannie M, Robrechts C, de Ravel T, Dymarkowski S, Van den Bosch T, Van Schoubroeck D: First trimester diagnosis of sirenomelia. Prenat Diagn. 2006, 26: 684-688. 10.1002/pd.1479.CrossRefPubMed Van Keirsbilck J, Cannie M, Robrechts C, de Ravel T, Dymarkowski S, Van den Bosch T, Van Schoubroeck D: First trimester diagnosis of sirenomelia. Prenat Diagn. 2006, 26: 684-688. 10.1002/pd.1479.CrossRefPubMed
Metadata
Title
Sirenomelia in a Nigerian triplet: a case report
Publication date
01-12-2011
Published in
Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-5-426

Other articles of this Issue 1/2011

Journal of Medical Case Reports 1/2011 Go to the issue