RT Book, Section A1 Bianchi, Diana W. A1 Crombleholme, Timothy M. A1 D'Alton, Mary E. A1 Malone, Fergal D. SR Print(0) ID 1106399789 T1 Sirenomelia T2 Fetology: Diagnosis and Management of the Fetal Patient, 2e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-144201-5 LK obgyn.mhmedical.com/content.aspx?aid=1106399789 RD 2024/04/19 AB Key PointsIncidence is 1 in 60,000 livebirths.Results from localized injury or insult to caudal end of developing embryo between days 13 and 22.Classified into 7 types according to the number of long bones present in the lower extremity.Associated with monozygotic twinning.First trimester sonographic findings include fused lower limb and increased nuchal translucency.Second trimester sonographic findings include single umbilical artery, bilateral renal agenesis, oligohydramnios, and growth restriction.Differential diagnosis includes bilateral renal agenesis and caudal regression syndrome.Chromosomes are usually normal.Prognosis is extremely poor for extrauterine survival.