Multidisciplinary surgical approach to a surviving infant with sirenomelia
| Autor: | Alessandra Martin, Simone Pancani, Marco Innocenti, Riccardo Gelli, Antonio Messineo, Roberto Lo Piccolo |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Colon Ectromelia Tissue Expansion Intestinal Atresia Anal Canal Ureter Quality of life medicine Humans Abnormalities Multiple Patient Care Team Skin Artificial Surgical team Pelvic kidney Leg Hip business.industry Ileostomy Intestinal atresia Chondroitin Sulfates Infant Newborn Soft tissue Skin Transplantation Plastic Surgery Procedures medicine.disease Spine Perineum Surgery Calcaneus medicine.anatomical_structure Sirenomelia Pediatrics Perinatology and Child Health Vagina Female Collagen business Tomography X-Ray Computed |
| Zdroj: | Pediatrics. 118(1) |
| ISSN: | 1098-4275 |
| Popis: | Sirenomelia is an extremely complex and rare malformation with different degrees of lower-extremities fusion associated with gastrointestinal, musculoskeletal, vascular, cardiopulmonary, and central nervous system malformations. In the English literature, there are only 5 reports of infants surviving with this condition. In our case, a 2540-g female infant was born with normal vital signs, no facial dysmorphism, and a complete soft tissue fusion of the lower limbs, from perineum to ankles. Radiologic examinations revealed an intestinal atresia and a single pelvic kidney, with a unique ureter, 2 femurs, 2 tibias, 2 fibulas, and 2 feet (simpus dipus). At 7 months of age, a multidisciplinary surgical team achieved complete separation of the lower limbs, with independent vascular and nerve supplies. At the time of this writing, the infant was 28 months old and had a regular growth curve. Many future reconstructive surgeries have been planned to achieve an acceptable quality of life for this infant. |
| Databáze: | OpenAIRE |
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