Sirenomelia, review of the literature and presentation of two cases

Authors

  • Clara Adis Martínez Velázquez Teaching General Hospital “Dr. Agostinho Neto”, Guantánamo. https://orcid.org/0000-0002-8112-7593
  • Iván Cayón Rojas Teaching General Hospital “Dr. Agostinho Neto”, Guantánamo.
  • Ana Katherine Cayón Martínez School Clinic “Omar Ranedo Pubillones", Guantánamo.
  • Karla Sucet Elias Armas Faculty of Medicine, Guantanamo.

Keywords:

sirenomelia, fetal malformation, prenatal diagnosis

Abstract

Introduction: the sirenomelia dates from the sixteenth century, stage in which those affected were supposed to be "monsters", and were sacrificed or hidden by families. It happens on a worldwide scale and in all races. It is more common in males, in monozygotic twin pregnancies and in children of mothers under 20 or over 40 years.

Objective: to socialize the experience of prenatal diagnosis of sirenomelia, in order to systematize theoretical references that familiarize general practitioners with the clinical characteristics, the etiopathogenesis and the diagnosis of this disease, multisystemic and lethal.

Method: Two cases of sirenomelia diagnosed by prenatal ultrasound were presented at the “Dr Agostinho Neto Hospital” in Guantánamo during the years 2014-2017.

Results: the definitive diagnosis of type I and type II sirenomelia was established according to the classification of Stocker and Heifetzy Simelia Dipus according to the Foerster criteria.

Conclusions: the professional performance should be directed to the prenatal diagnosis, in order to guide the interruption of the pregnancy since medical interventions are not available to improve the prognosis of the fetus or the newborn with sirenomelia.

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Author Biographies

Clara Adis Martínez Velázquez, Teaching General Hospital “Dr. Agostinho Neto”, Guantánamo.

1st degree Specialist in Pathology. Assistant Teacher.

Iván Cayón Rojas, Teaching General Hospital “Dr. Agostinho Neto”, Guantánamo.

1st degree’s Specialist of Gynecology and Obstetrics field. Assistant Teacher.

Ana Katherine Cayón Martínez, School Clinic “Omar Ranedo Pubillones", Guantánamo.

Secound-Resindent physician in Comprehensive General Medicine.

Karla Sucet Elias Armas, Faculty of Medicine, Guantanamo.

fifth-year medical student. Volunteer helper student of Intensive and Emergency Medicine.

References

1. Sahu L, Singh S, Gandhi G, Agarwal K. Sirenomelia: a case report with literature review. Int J Reprod Contracept Obstet Gynecol [en línea]. 2013 [citado 05/04/2018]; 2(3):430-432. Disponible en: http://www.scopemed.org/?jft=89&ft=89-1367756917

2. Castori M, Silvestri E, Cappellacci S, Binni F, Sforzolini GS, Grammatico P. Sirenomelia and VACTERL association. Am J Med Genet. 2010; 152a: 1803-1807.

3. Cuba. Ministerio Salud Pública. Anuario estadístico de salud 2016. [en línea]. 2017 [citado 08/042018]; p. 27. Disponible en: http://www.bvs.sld.cu/revistas/anuario

4. Atobe O, Nacimiento MB, Romero D, Roscher G, Hellvig E. Diagnóstico ecográfico prenatal de sirenomelia. Rev Nac (Itauguá) [en línea]. 2015 [citado 04/04/2018]; 7(2):34–42. Disponible en: http://scielo.iics.una.py/pdf/hn/v7n2/v7n2a09.pdf

5. Alaani S, Musanzikwa M, Murie A A. Sirenomelia within a one-year period at Fallujah General Hospital. Science J Clin Med[en línea]. 2013 [citado 05/04/2018]; 2(3):64-67. Disponible en: http://www.doi=10.11648/j.sjcm.20130203.11

6. Stocker JT, Heifetz SA. Sirenomelia. A morphological study and review of the literature. Perspect Pediatr Pathol. 1987; 10:7-50.

7. Álvarez PJ, Marín AT, Rodríguez GBE, Orozco HN. Un caso de sirenomelia. Rev Ciencias Méd Pinar del Río [en línea]. 2017 Mar [citado 05/04/2018]; 21(2):266-270. Disponible en: http://scielo.sld.cu/pdf/rpr/v21n2/rpr16217.pdf

8. Lugones BM, Pichs GLA, Ramírez BM, Miyar PE. Sirenomelia. Rev Cubana Med Gen Integr[en línea]. 2006 Jun [citado 06/04/2018]; 22(2):276-280. Disponible en: http://scielo.sld.cu/pdf/mgi/v22n2/mgi08206.pdf

9. López BL, Fernández PZ, Langaney RJ. Sirenomelia. Rev Cubana Obstet Ginecol [en línea]. 2012 [citado 02/10/2018]; 38(2):276-280. Disponible en: http://www.medigraphic.com/pdfs/revcubobsgin/cog-2012/cog122n.pdf

10.Agami MS, Braverman BA. Sirenomelia: reporte de un caso y revisión de la literatura. Rev Mex Ped [en línea]. 2015 Jun [citado 06/04/2018]; 82(3):98-100. Disponible en: http://www.medigraphic.com/pdfs/pediat/sp-2015/sp153d.pdf

11.Maita QF, Zegarra SW, Panozo BSV, Castillo YBJ, Herbas BRI. Sirenomelia, presentación de un caso clínico y revisión de la literatura. Gac Med Bol [en línea]. 2012 Dic [citado 05/04/2018]; 35(2): 80-83. Disponible en: boliviarevista.com/index.php/medica/article/download/567/567

12.Orioli IM, Amar E, Arteaga VJ, Botto LD. Sirenomelia: literature review. Am J Med Genet Part C Semin Med Genet [en línea]. 2012 Dic [citado 05/04/2018]; 157(4):358-73. Disponible en: https://onlinelibrary.wiley.com/doi/pdf/10.1002/ajmg.c.30324

13.Lima MA. Sirenomelia associada a defeitos congênitos raros: relato de três casos. J Bras Patol Med Lab. 2012; 48(4):287-292.

14.Reddy KR, Srinivas S, Prasad H, Irfan GM. Sirenomelia. J Neonatal Surg [en línea]. 2012 Mar [citado 05/04/2018]; 1(1):7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26023366

15.Navena S. Sirenomelia: a case report. IOSR J Dent Med Sci. [en línea]. 2013 [citado 05/04/2018]; 7(6):1-4. Disponible en: http://www.iosrjournals.org/iosr-jdms/papers/Vol7-issue6/A0760104.pdf

16.Samal SK, Rathod S. Sirenomelia: the mermaid syndrome: report. J Nat SciBiol Med. 2015; 6(1):264-267.

17.Torabizadeh Z, Naghshvar F, Nosrati A, Emadian O. Mermaid syndrome, Sirenomelia: A case report and review of literature. J Pediatr Rev [en línea]. 2013 [citado 05/02/2018]; 1(1)64-69. Disponible en: http://jpr.mazums.ac.ir/browse.php?a_id=43&sid=1&slc_lang=

18.Rigon G, Vallone C, Silvestri E, Signore F. Short-term surviving sirenomelia neonate followed by a complex mesodermal malformation in a sibling. BMJ. 2013; 2(2):234–245.

19.López GA. Diagnóstico prenatal de casos de sirenomelia. Rev Diagn Prenat [en línea]. 2013 [citado 10/04/2018]; 24:161-5. Disponible en: http://www.hospitalitaliano.org.ar/Sirenomelia-2015.pdf

20.Cuillier F, Mardamootoo D, Lamarque M, Cerisier S, Bideaut J. Three Dimensional Sonography of Sirenomelia. J Ultrasound Med [en línea]. 2013 [citado 10/04/2018]; 32(9):1678-1680. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23980232

21.Garrido AC, Haro E, González LD, Ros ML. A clinical and experimental overview of sirenomelia. Dis Models Mechan [en línea]. 2011 [citado 05/04/2018]; 4:289-299. Disponible en: http://dmm.biologists.org/content/4/3/289

22.Chávez CD. Sirenomelia apus: reporte de un caso clínico. Rev Ginecol Obstet Mex. 2011; 79(8):501-507.
23.Laura G. El síndrome de la Sirenomelia [en línea]. 2011 [citado 08/04/2018]. Disponible en: http://enfermedadesraras2.blogspot.com/

24.Clemente CM, Farina M, Cianci A, Iraci Sareri M. Sirenomelia: early ultrasonographic and hysteroscopic embryoscopic diagnosis during the first trimester of Gestation. Fetal DiagnTher.2010; 28:43-45.

Published

2019-03-19

How to Cite

1.
Martínez Velázquez CA, Cayón Rojas I, Cayón Martínez AK, Elias Armas KS. Sirenomelia, review of the literature and presentation of two cases. Rev Inf Cient [Internet]. 2019 Mar. 19 [cited 2025 Jun. 2];98(1):127-39. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/2029

Issue

Section

Review Articles