Document Detail

Sirenomelia in a monoamniotic twin: a case report.
MedLine Citation:
PMID:  16572916     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Sirenomelia is a rare congenital malformation characterized by fusion of the lower extremities and is associated with renal agenesis and absent bladder. Oligohydramnios usually occurs early in pregnancy. CASE: A 21-year-old primigravida with a twin gestation was diagnosed with sirenomelia in 1 of the twins at 18 weeks; they were delivered at 34 weeks. The infant was in perfect respiratory condition, lived for 5 days and died of nonpulmonary causes. CONCLUSION: Absence of oligohydramnios in monoamniotic twins allows free movement of the fetus in utero, facilitates the visualization of fetal organs on ultrasound and aids early prenatal diagnosis. It also delays the death of the sirenomelia infant due to the improved respiratory condition.
Mohamed N Akl; Abdelaziz A Saleh
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  51     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-03-31     Completed Date:  2006-07-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  138-40     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Michigan State University, Hurley Medical Center, Flint, Michigan 48503, USA.
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MeSH Terms
Ectromelia / diagnosis*
Fatal Outcome
Gestational Age
Infant, Newborn
Oligohydramnios / physiopathology,  ultrasonography*
Pregnancy Outcome*
Pregnancy, Multiple
Twins, Monozygotic*
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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