Sirenomelia also called as Mermaid Syndrome, is a rare congenital malformation of uncertain etiology. It is characterized by fusion of the lower limbs and commonly associated with severe urogenital and gastrointestinal malformation. The associated visceral anomalies are usually incompatible with life. However, surviving sirenomelic fetuses have been described with costly conservative management and mediocre results. The emphasis should be placed on prenatal diagnosis to ensure an optimal management that would consequently be less demanding both from a psychological and a health cost point of view. We report a case of sirenomelia occurring in a 25 year old primigravida Kuwaiti woman following premature rupture of membranes and preterm birth at 31 weeks of gestation. This is the first documented case in this country.

Fatemah Alhadhoud is Consultant Obstetrics and Gynecology in Maternity hospital, Kuwait. Dr.Fatemah has completed her postgraduate Kuwaiti training program in OBGYN in 2014 and certified as Minimally Invasive Gynecologic Surgeon from University of Ottawa, Canada in 2019. She is the Program Director of postgraduate residency program in OBGYN in Kuwait since 2021. She is the International Ambassador of International Pelvic Pain Society (IPPS) for middle East region 2020-2022.