Shiloh was born with sirenomelia, meaning her legs were fused from the waist down.— TheState.com: The Buzz
Being born with "mermaid syndrome," also known as sirenomelia, meant that the Kennebunkport girl had only one partially working kidney, no lower colon or genital organs and legs fused from the waist down.
Some children who have survived sirenomelia have had surgery to separate their legs, but Shiloh did not because blood vessels crossing from side to side in her circulatory system would have been severed.— 10News.com - Local News
Shiloh was born with "mermaid syndrome," also known as sirenomelia, and Shiloh only had one partially working kidney, no lower colon or genital organs and her legs were fused from the waist down.— Stupid Celebrities Gossip
Some children with sirenomelia are able to have surgery to separate their legs, but Shiloh was unable to due to the blood vessels crossing from side to side in her circulatory system that would have been severed.— Stupid Celebrities Gossip

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