Abstract
Sirenomelia, Mermaid syndrome, is a very rare fatal congenital anomaly of sirenomelia sequence with fusion and atrophy of lower limbs, giving an appearance of human head and upper body with tail of a fish. The spectrum of anomalies affects primarily musculoskeletal system with severe urogenital and gastrointestinal malformations, neural tube and vertebral anomalies. It has a reported incidence of 1 in 60,000 births with unknown etiology. Depending on the degree of fusion of lower limb and development of feet sirenomelia is distinguished in 3 formssympus dipus, sympus monopus and sympus apus. Here we present a case of sirenomelia with sympus monopus , severe oligohydramnios and is still born. We examined the foetus in light of data from medical literature and discussed the embryological origin of such severe form of caudal dysgenesis.
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