Antenatal three-dimensional sonographic diagnosis of persistent cloaca

Ishibashi, Masayoshi; Tanaka, Hirokazu; Itô, Michiaki; Uketa, Emiko; Mori, Nobuhiro; Hanaoka, Uiko; Kanenishi, Kenji; Hata, Toshiyuki

doi:10.1007/s10396-012-0423-2

Cited by 13 publications

(7 citation statements)

References 12 publications

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“…Recent publications, most of them focused in obstetrics, show that HDlive provides a much more natural and realistic appearance of the normal embryo, 10,11,13,14,22,24 fetuses, 10,11,[13][14][15][16]22,23 their facial expressions, 11,13,15,16,22,24,25 cases of fetal abnormalities: acrania/exencephaly; 11,13,22,25 cyclopia with proboscis; 27 cystic hygroma; 22,26 Omphalocele; 11,13,14,22 multicystic kidney; 18 persistent cloaca, 28 siamese twins, 20 TRAP syndrome 29 and umbilical vein varix. 30 The most recent articles have been focused in visualizing special organs as heart, 31,32 the uvula and the soft palate.…”

Section: Discussionmentioning

confidence: 99%

Gynecological Tumors Image using High Definition Ultrasound (HDlive US)

Raga¹,

Bonilla²,

Bonilla‐Musoles³

et al. 2014

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Abdominal and/or vaginal two-dimensional (2D) and threedimensional (3D) ultra sound (US) are the 'gold standard' technology on which diagnosis and control of gynecological tumors depend.In recent years a series of software that initially generated enormous interest, have been introduced to improve 2D/3D US image quality and diagnostic accuracy. Many of them have shown limited interests.The last one and the most interesting is HDlive which incorporates a movable virtual adjustable light that, as it penetrates, produces selective illumination with respective shadows that result from the structures where light is reflected. This combination of lights and shadows results in spectacular images which are much more real than those obtained with conventional 3D US.This note simply pretends to show the quality of images obtained in cases of gynecological tumors using this easy-tohandle high definition ultrasound technology.

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Section: Discussionmentioning

confidence: 99%

Gynecological Tumors Image using High Definition Ultrasound (HDlive US)

Raga¹,

Bonilla²,

Bonilla‐Musoles³

et al. 2014

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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“…Persistent cloaca is an extremely rare congenital malformation, occurring in only one in 50,000 live births. It is characterized by a single perineal opening for the urinary, gastrointestinal, and reproductive tracts [ 9 ]. Eighty percent of patients with persistent cloaca are also born with a structural abnormality of the urinary tract, including renal dysplasia, ectopic kidney, solitary kidney, duplex kidneys, and ureteropelvic junction obstruction [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Fibronectin glomerulopathy complicated with persistent cloaca and congenital esophageal atresia: a case report and literature review

et al. 2017

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BackgroundFibronectin glomerulopathy is a rare, inherited, autosomal dominant, glomerular disease characterized by proteinuria, microscopic hematuria, hypertension, massive glomerular deposits of fibronectin, and slow progression to end-stage renal failure. Because the incident of fibronectin glomerulopathy is extremely low, the pathophysiology, genetic abnormalities, epidemiology, and mechanisms remain to be elucidated.Case presentationWe report a 21-year-old woman with fibronectin glomerulopathy, who had been diagnosed with persistent cloaca and congenital esophageal atresia at birth. She developed proteinuria and hematuria 7 months before admission. Urinary protein and serum creatinine levels were 3.38 g/gCr and 0.73 mg/dL. Renal biopsy showed severe mesangial widening due to massive deposits, which was positive periodic acid-Schiff and negative methenamine silver. Immunostaining was negative for immunoglobulin but positive for fibronectin. Electron microscopy showed diffuse mesangial granular deposits. Thus she was diagnosed with fibronectin glomerulopathy, despite a negative family history of kidney disease and lack of any known missense mutations of fibronectin 1 gene.ConclusionWe report a patient who developed fibronectin glomerulopathy during the clinical course of extremely rare congenital malformations, including persistent cloaca and congenital esophageal atresia. We describe a case of this condition in detail and summarize the 75 case reports of fibronectin glomerulopathy.

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“…3 Fetal persistent cloaca is generally diagnosed on the presence of hydrometrocolpos and hydronephrosis resulting from obstruction of the common channel. [4][5][6] The diagnosis is usually made in the early period of gestation, up to 30 weeks. The present patient had the typical findings of persistent cloaca: duplicate cystic masses in the pelvis.…”

Section: Discussionmentioning

confidence: 99%

Giant fetal hydrometrocolpos associated with cloacal anomaly causing postnatal respiratory distress

Kanda

Iizuka

Yamazaki

et al. 2017

J of Obstet and Gynaecol

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Persistent cloaca is a rare presentation wherein the urethra, vagina, and rectum converge into a common channel with a single perineal opening. Fetal hydrometrocolpos can result if fluid accumulates behind an obstruction of this common channel. A 29-year-old woman (G4P1021) was referred at 36 2/7 weeks of gestation for evaluation of a fetal abdominal cystic mass. Detailed ultrasonography and magnetic resonance imaging showed two symmetric cystic masses, bilateral hydronephrosis, and oligohydramnios. Elective cesarean delivery was performed at 37 0/7 weeks; the baby weighed 4043 g with Apgar scores of 5 and 6 at 1 and 5 min. Intubation was performed for respiratory distress, and the infant was noted to have an imperforate anus; persistent cloaca was diagnosed. Drainage of the hydrometrocolpos improved the infant's breathing remarkably, and extubation was achieved. This child's imaging findings are among the largest ever reported, and resulted in neonatal respiratory distress.

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Antenatal three-dimensional sonographic diagnosis of persistent cloaca

Cited by 13 publications

References 12 publications

Gynecological Tumors Image using High Definition Ultrasound (HDlive US)

Gynecological Tumors Image using High Definition Ultrasound (HDlive US)

Fibronectin glomerulopathy complicated with persistent cloaca and congenital esophageal atresia: a case report and literature review

Giant fetal hydrometrocolpos associated with cloacal anomaly causing postnatal respiratory distress

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