The Management of Pyromelic Polymelia in a Low-resource Setting: A Case Report
Dominic Konadu-Yeboah1,2, Johnny Sobotie1, Samuel Twene Boadi1
1Department of Orthopaedics and Trauma, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Introduction:
Polymelia is the presence of supernumerary limbs attached to a segment of the body. It occurs in about 6/10,000 live births with 1.1/10,000 cases involving the lower limbs. It has a heterogeneous pathogenesis including incomplete separation of monozygotic twins.
Case Report:
A 5-month-old baby with polymelia associated with ectopic right kidney, anorectal agenesis with a rectovaginal fistula, and right corneal opacity, delivered through cesarean section at 37 weeks, 3-day gestation to a 38-year-old mother. There were no known predisposing factors.
Conclusion:
In the management of polymelia, a thorough clinical and radiological assessment to identify additional anomalies is critical, and early surgical intervention is safe and optimizes survival.
