Prenatal Diagnosis and Postnatal Ultrasound Findings of Cloacal Anomaly: A Case Report
Cloacal malformation is an extremely rare fetal pathological condition that presents as a variety of defects. It predominantly affects females, with prevalence of 1 in 50,000 births. Prenatal ultrasonography on a 20-year-old caucasian woman (G4P1A2) at 33 weeks of pregnancy showed the fetus having a...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2012/969860 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832560934460063744 |
|---|---|
| author | Lívia Teresa Moreira Rios Edward Araujo Júnior Luciano Marcondes Machado Nardozza Ana Carolina Rabachini Caetano Antonio Fernandes Moron Marília da Glória Martins |
| author_facet | Lívia Teresa Moreira Rios Edward Araujo Júnior Luciano Marcondes Machado Nardozza Ana Carolina Rabachini Caetano Antonio Fernandes Moron Marília da Glória Martins |
| author_sort | Lívia Teresa Moreira Rios |
| collection | DOAJ |
| description | Cloacal malformation is an extremely rare fetal pathological condition that presents as a variety of defects. It predominantly affects females, with prevalence of 1 in 50,000 births. Prenatal ultrasonography on a 20-year-old caucasian woman (G4P1A2) at 33 weeks of pregnancy showed the fetus having a large cystic mass in the lower abdomen with a single septum, bilateral hydronephrosis, ambiguous genitalia, and a single umbilical artery. The pregnancy developed accentuated oligohydramnios, and presence of a fetal brain-sparing effect was diagnosed using arterial Doppler velocimetry. The newborn showed abdominal distension, ambiguous genitalia, and rectal atresia, with a single perineal opening. Pelvic ultrasound done on the first day after delivery revealed the presence of a large retrovesical septated cystic mass of dense content in the fetal abdomen, and bilateral hydronephrosis. Hysterotomy was performed, and 70 mL of dense liquid was drained through an abdominal colostomy. The infant died on the 27th day of life as a result of infectious complications. Prenatal diagnosing of female urogenital anomalies is usually difficult because of their rarity, different types of manifestation, and lack of characteristic ultrasound signs. Presence of a septated cyst with dense content in the fetal abdomen confirms the finding of hydrometrocolpos, thus raising clinical suspicion of a cloacal anomaly. |
| format | Article |
| id | doaj-art-2fff5c6e81fe42268221eef65e740e36 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-2fff5c6e81fe42268221eef65e740e362025-02-03T01:26:21ZengWileyCase Reports in Pediatrics2090-68032090-68112012-01-01201210.1155/2012/969860969860Prenatal Diagnosis and Postnatal Ultrasound Findings of Cloacal Anomaly: A Case ReportLívia Teresa Moreira Rios0Edward Araujo Júnior1Luciano Marcondes Machado Nardozza2Ana Carolina Rabachini Caetano3Antonio Fernandes Moron4Marília da Glória Martins5Mother-Child Unit, Universitary Hospital, Federal University of Maranhão (UFMA), São Luiz, MA, BrazilDepartment of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 apto. 113 Visage, Alto da Lapa, 05303-000 São Paulo, SP, BrazilDepartment of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 apto. 113 Visage, Alto da Lapa, 05303-000 São Paulo, SP, BrazilDepartment of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 apto. 113 Visage, Alto da Lapa, 05303-000 São Paulo, SP, BrazilDepartment of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 apto. 113 Visage, Alto da Lapa, 05303-000 São Paulo, SP, BrazilMother-Child Unit, Universitary Hospital, Federal University of Maranhão (UFMA), São Luiz, MA, BrazilCloacal malformation is an extremely rare fetal pathological condition that presents as a variety of defects. It predominantly affects females, with prevalence of 1 in 50,000 births. Prenatal ultrasonography on a 20-year-old caucasian woman (G4P1A2) at 33 weeks of pregnancy showed the fetus having a large cystic mass in the lower abdomen with a single septum, bilateral hydronephrosis, ambiguous genitalia, and a single umbilical artery. The pregnancy developed accentuated oligohydramnios, and presence of a fetal brain-sparing effect was diagnosed using arterial Doppler velocimetry. The newborn showed abdominal distension, ambiguous genitalia, and rectal atresia, with a single perineal opening. Pelvic ultrasound done on the first day after delivery revealed the presence of a large retrovesical septated cystic mass of dense content in the fetal abdomen, and bilateral hydronephrosis. Hysterotomy was performed, and 70 mL of dense liquid was drained through an abdominal colostomy. The infant died on the 27th day of life as a result of infectious complications. Prenatal diagnosing of female urogenital anomalies is usually difficult because of their rarity, different types of manifestation, and lack of characteristic ultrasound signs. Presence of a septated cyst with dense content in the fetal abdomen confirms the finding of hydrometrocolpos, thus raising clinical suspicion of a cloacal anomaly.http://dx.doi.org/10.1155/2012/969860 |
| spellingShingle | Lívia Teresa Moreira Rios Edward Araujo Júnior Luciano Marcondes Machado Nardozza Ana Carolina Rabachini Caetano Antonio Fernandes Moron Marília da Glória Martins Prenatal Diagnosis and Postnatal Ultrasound Findings of Cloacal Anomaly: A Case Report Case Reports in Pediatrics |
| title | Prenatal Diagnosis and Postnatal Ultrasound Findings of Cloacal Anomaly: A Case Report |
| title_full | Prenatal Diagnosis and Postnatal Ultrasound Findings of Cloacal Anomaly: A Case Report |
| title_fullStr | Prenatal Diagnosis and Postnatal Ultrasound Findings of Cloacal Anomaly: A Case Report |
| title_full_unstemmed | Prenatal Diagnosis and Postnatal Ultrasound Findings of Cloacal Anomaly: A Case Report |
| title_short | Prenatal Diagnosis and Postnatal Ultrasound Findings of Cloacal Anomaly: A Case Report |
| title_sort | prenatal diagnosis and postnatal ultrasound findings of cloacal anomaly a case report |
| url | http://dx.doi.org/10.1155/2012/969860 |
| work_keys_str_mv | AT liviateresamoreirarios prenataldiagnosisandpostnatalultrasoundfindingsofcloacalanomalyacasereport AT edwardaraujojunior prenataldiagnosisandpostnatalultrasoundfindingsofcloacalanomalyacasereport AT lucianomarcondesmachadonardozza prenataldiagnosisandpostnatalultrasoundfindingsofcloacalanomalyacasereport AT anacarolinarabachinicaetano prenataldiagnosisandpostnatalultrasoundfindingsofcloacalanomalyacasereport AT antoniofernandesmoron prenataldiagnosisandpostnatalultrasoundfindingsofcloacalanomalyacasereport AT mariliadagloriamartins prenataldiagnosisandpostnatalultrasoundfindingsofcloacalanomalyacasereport |