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Case Report: Sirenomelia type VI (sympus apus) in one of dizygotic twins at Chiang Mai University Hospital

机译:病例报告:清迈大学医院的同卵双生双胞胎中的六株鸢尾吸虫

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摘要

Those born with sirenomelia, a rare congenital anomaly, have features resembling a mermaid. Characteristics of sirenomelia are a single lower limb, sacral and pelvic bone defects, and anorectal and urogenital malformations. There is an increased incidence of sirenomelia in males and twins. This case was a preterm male, dizygotic twin and product of in vitro fertilisation. The baby was born by caesarean section due to breech presentation. He was found to have a fused lower extremity and absent external genitalia and anus. The baby passed away shortly after birth due to severe respiratory failure. Radiographic findings showed small lung volume and pneumothoraces. There were multiple segmental fusions of the vertebrae. Single femur and single tibia were presented in a fused lower limb. Autopsy demonstrated large intestinal atresia, intra-abdominal testes, absence of kidney, ureter and bladder, single umbilical artery, agenesis of blood vessels at lower extremity and agenesis of sacrum and coccyx.
机译:那些患有先天性先天性畸形的人,具有类似于美人鱼的特征。胸膜肺炎的特征是下肢单一,骨和骨盆骨缺损,以及肛门直肠和泌尿生殖器畸形。在男性和双胞胎中,肾小球膜炎的发病率增加。该病例是早产雄​​性,同卵双胞胎和体外受精的产物。婴儿因臀位出现而剖腹产。发现他的下肢融合,没有外部生殖器和肛门。婴儿出生后不久因严重的呼吸衰竭去世。影像学检查发现肺体积小和气胸。椎骨有多个节段融合。在融合的下肢中出现单个股骨和单个胫骨。尸检显示大肠闭锁,腹内睾丸,无肾,输尿管和膀胱,单条脐动脉,下肢血管发育不良以及骨和尾骨发育不良。

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