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Successful Expectant Management of the Anomalous Fetus with Sirenomelia in Twin Pregnancy: A Case Report and Literature Review

Authors Tilahun T, Desta D

Received 4 January 2021

Accepted for publication 26 March 2021

Published 9 April 2021 Volume 2021:14 Pages 229—232

DOI https://doi.org/10.2147/IMCRJ.S300318

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Ronald Prineas


Temesgen Tilahun,1 Dawit Desta2

1Department of Obstetrics & Gynecology, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia; 2Department of Emergency Surgery, Gynecology, and Obstetrics, Arjo Hospital, Arjo, Ethiopia

Correspondence: Temesgen Tilahun
Department of Obstetrics & Gynecology, Institute of Health Sciences, Wollega University, P.O Box: 395, Nekemte Oromia Ethiopia, Central, Addis Ababa, Nekemte, Ethiopia
Tel +251912057186
Email [email protected]

Background: Sirenomelia is a rare congenital defect. Its management during pregnancy and after delivery is becoming a controversial issue because of its complex nature and management outcome. The possibility of expectant management in the sirenomelia twin drove us to write this case report.
Case Presentation: We report a case of successful expectant management in twin sirenomelia which was diagnosed in the second trimester. Prenatal counseling of the couple by a multi-disciplinary team regarding the diagnosis, treatment, and prognosis of the sirenomelia twin was done. The mother gave birth, at term, to one normal and one sirenomelia neonate by cesarean section.
Conclusion: Expectant management of sirenomelia one in twin pregnancy is advisable in a resource-limited setting.

Keywords: sirenomelia, twin pregnancy, expectant management

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