International Medical Case Reports Journal (Apr 2021)
Successful Expectant Management of the Anomalous Fetus with Sirenomelia in Twin Pregnancy: A Case Report and Literature Review
Abstract
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, EthiopiaCorrespondence: Temesgen TilahunDepartment of Obstetrics & Gynecology, Institute of Health Sciences, Wollega University, P.O Box: 395, Nekemte Oromia Ethiopia, Central, Addis Ababa, Nekemte, EthiopiaTel +251912057186Email [email protected]: 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
