Abstract
Polymelia, first described by Macewen in 1877, is a rare congenital disorder characterized by the presence of accessory limbs. This case report describes a 2-month-old infant with sacrococcygeal polymelia and reviews the literature on pathophysiology, clinical presentations, and surgical management. Following the initial assessment, imaging studies, and clinical evaluation, the accessory limb was excised while preserving normal anatomy. Postoperatively, the wounds healed well with acceptable cosmetic results. This case report highlights the importance of multidisciplinary care for the treatment of this rare condition through careful preoperative assessment and precise surgical techniques.