raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3169

Sirenomelia

Type
Malformation syndrome
Group
Disorder
Inheritance
Not applicable
Age of onset
Antenatal, Neonatal
Status
active

A rare, lethal, congenital anomaly that may represent the most severe form of caudal dysgenesia and characterized by fusion of the lower limbs (mermaid-like) always associated with severe genitourinary and gastrointestinal anomalies. Furthermore, there is wide phenotipical variability in the musculoskeletal, central nervous system, cardiopulmonary, anomalies present. Pelvic, sacral and spinal defects , internal and external genitalia defects, renal agenesis, absent bladder, rectal/anal atresia are commonly described. Most cases are stillborn or die during, or shortly after, birth. Sirenomelia can be classified on the basis of limb malformations phenotypes. Due to the similarity, the distinction between sirenomelia and caudal regression syndrome, familial caudal dysgenesis and VACTERL is debated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSirenomelia
frSirénomélie
deSirenomelie
esSirenomelia
itSirenomelia
nlSirenomelie
ptSirenomelia
plSyrenomelia
csSirenomelie
ukСиреномелія
zh并腿畸形
trSirenomeli

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM600145NTBTvalidated
ICD-10Q87.2NTBTinclusionvalidated
ICD-11LD2F.12Especificvalidated
MONDO0017850Evalidated
UMLSC0037205Evalidated
GARD7652Evalidated
MedDRA10072457Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

19 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0001.04 / 100 000FranceValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 1 000 0000.62 / 100 000ItalyValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 1 000 0000.64 / 100 000SpainValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 1 000 0000.54 / 100 000NetherlandsValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 1 000 0000.7 / 100 000FinlandValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 1 000 0000.31 / 100 000SlovakiaValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 1 000 0000.33 / 100 000HungaryValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 1 000 0000.74 / 100 000United StatesValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 100 0001.6 / 100 000CanadaValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 1 000 0000.83 / 100 000ChinaValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 1 000 0000.79 / 100 000AustraliaValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 100 0002.36 / 100 000MexicoValue and classValidated22002878[PMID]
Prevalence at birth1-9 / 100 0001.36 / 100 000Latin AmericaValue and classValidated22002878[PMID]
Prevalence at birth1-5 / 10 00012 / 100 000ColombiaValue and classValidated22030798[PMID]
Prevalence at birth1-9 / 1 000 0000.98 / 100 000WorldwideValue and classNot yet validated22002878[PMID]
Point prevalence<1 / 1 000 0000.01 / 100 000WorldwideValue and classNot yet validatedORPHANET
Prevalence at birth1-9 / 1 000 0000.71 / 100 000EuropeValue and classNot yet validatedORPHANET
Point prevalence<1 / 1 000 0000.009 / 100 000EuropeValue and classNot yet validatedORPHANET
Point prevalence1-9 / 1 000 0000.98 / 100 000BrazilValue and classValidated35209917[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

10 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000079Abnormality of the urinary system
HP:0010305Absence of the sacrum
HP:0000062Ambiguous genitalia
HP:0002023Anal atresia
HP:0008678Renal hypoplasia/aplasia
HP:0010497Sirenomelia
Frequent (79-30%)
HP:0001626Abnormality of the cardiovascular system
HP:0006501Aplasia/Hypoplasia of the radius
HP:0002414Spina bifida
HP:0002575Tracheoesophageal fistula

Run the differential on the 6 obligate / very frequent terms

7

Sources for this card