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RESEARCH PRODUCT

Sirenomelia, case report and review of the literature.

José Morales-rosellóJosé Morales-rosellóGabriela LoscalzoSilvia BuongiornoAlfredo Perales-marínAlfredo Perales-marínVaidilė Jakaitė

subject

Ectromelia030231 tropical medicine03 medical and health sciences0302 clinical medicinePregnancymedicine.arterymedicineHumansAbnormalities MultipleUltrasonographyPregnancy030219 obstetrics & reproductive medicineCaudal regression syndromeSingle umbilical arterybusiness.industryAbdominal aortaUltrasoundObstetrics and GynecologyAnatomyArteriesmedicine.diseasePregnancy Trimester Firstmedicine.anatomical_structureSirenomeliaPediatrics Perinatology and Child HealthAbdomenFemaleVitelline arteriesbusiness

description

We present a case of sirenomelia diagnosed in the first trimester of pregnancy. The ultrasound examination showed fused lower extremities and an anechoic structure in the lower abdomen that is clue in the early diagnosis. The postmortem study showed the existence of a single umbilical artery (vitelline artery), with an origin in the abdominal aorta. This finding not only explained the presence of a vascular steal with subsequent underdeveloped of pelvic organs, but also differentiated this condition from caudal regression syndrome.

10.1080/14767058.2020.1742693https://pubmed.ncbi.nlm.nih.gov/32216506