Sirenomelia—Challenges and Treatment Approach in a Rare Case

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Hauptverfasser: Daria Sosińska, Andrzej Gołębiewski, Piotr Czauderna
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Veröffentlicht: Wiley 2024
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author Daria Sosińska
Andrzej Gołębiewski
Piotr Czauderna
author_facet Daria Sosińska
Andrzej Gołębiewski
Piotr Czauderna
Daria Sosińska
Andrzej Gołębiewski
Piotr Czauderna
collection Wiley Open Access
contents Sirenomelia—Challenges and Treatment Approach in a Rare Case Daria Sosińska Andrzej Gołębiewski Piotr Czauderna Birth Defects Research ABSTRACTIntroductionSirenomelia is a very rare congenital structural anomaly characterized by abnormal development of the caudal region of the body with varying degrees of fusion of lower limbs. Mostly, the condition is lethal for the baby. Most babies do not survive even after surgery. Fifty percent of cases are seen as stillbirths, and it is much more common in identical twins.Case ReportWe present a case of a boy born in 38th week of gestation (hebdomas graviditatis—HBD) with diagnosed sirenomelia, microcephaly, bilateral renal agenesis, duodenal atresia, imperforate anus, and agenesis of external genitalia. We provide a brief review of the literature and discussion concerning similar cases, determinants, pathogenesis and suspected genetic factors.ConclusionsDue to accompanying malformations, there is often no treatment for sirenomelia. Avoidance of risk factors, early diagnosis, multidisciplinary approach and psychological preparation of parents to help them cope emotionally and mentally with the challenges, seem to be the key factors of management. It is very important to diagnose this condition by ultrasonography prenatally so that termination of pregnancy can be carried out. 10.1002/bdr2.2425 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/bdr2.2425
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spellingShingle Sirenomelia—Challenges and Treatment Approach in a Rare Case
Daria Sosińska
Andrzej Gołębiewski
Piotr Czauderna
Birth Defects Research
Sirenomelia—Challenges and Treatment Approach in a Rare Case Daria Sosińska Andrzej Gołębiewski Piotr Czauderna Birth Defects Research ABSTRACTIntroductionSirenomelia is a very rare congenital structural anomaly characterized by abnormal development of the caudal region of the body with varying degrees of fusion of lower limbs. Mostly, the condition is lethal for the baby. Most babies do not survive even after surgery. Fifty percent of cases are seen as stillbirths, and it is much more common in identical twins.Case ReportWe present a case of a boy born in 38th week of gestation (hebdomas graviditatis—HBD) with diagnosed sirenomelia, microcephaly, bilateral renal agenesis, duodenal atresia, imperforate anus, and agenesis of external genitalia. We provide a brief review of the literature and discussion concerning similar cases, determinants, pathogenesis and suspected genetic factors.ConclusionsDue to accompanying malformations, there is often no treatment for sirenomelia. Avoidance of risk factors, early diagnosis, multidisciplinary approach and psychological preparation of parents to help them cope emotionally and mentally with the challenges, seem to be the key factors of management. It is very important to diagnose this condition by ultrasonography prenatally so that termination of pregnancy can be carried out. 10.1002/bdr2.2425 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Sirenomelia—Challenges and Treatment Approach in a Rare Case
topic Birth Defects Research
url https://onlinelibrary.wiley.com/doi/10.1002/bdr2.2425