Case Report

A Case of Type I Sirenomelia Complicated by Severe Oligohydramnios in the First Trimester

Table 1

Possible associated abnormalities with sirenomelia.

Urogenital
 Renal agenesis
 Multicystic dysplastic kidneys (rare)
 Genital ambiguity/absence of external genitalia
 Müllerian anomalies
 Cloacal abnormalities
Gastrointestinal tract
 Anorectal atresia
 Sacral agenesis
Skeletal
 Neural tube defects
 Lumbosacral dysgenesis/agenesis
 Sacral agenesis
 Varying degrees of limb reduction, soft tissue fusion of lower extremities, single lower extremity
 Hypoplasia/aplasia of pelvic girdle
 Complex fusion of feet (sympodia)
 Absent feet
 Radial ray abnormalities
 Phocomelia
 Rotational abnormalities of lower limbs
 Hip dislocation
Others
 Single umbilical artery (virtually always present)
 Vestigial tail
Cardiac system anomalies (less common)
Central nervous system anomalies (less common)

Listed based on Reference [6].