Increased Amniotic Fluid Volume Associated With Cloacal and Renal Anomalies

Cianciosi, Arianna; Mancini, Fulvia; Busacchi, Paolo; Carletti, Angela; Aloysio, Domenico De; Battaglia, Cesare

doi:10.7863/jum.2006.25.8.1085

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…38 • Cardiovascular (10% cardiac): Single umbilical cord artery, 3 hepatic and splenic aneurysms, 14 persistence of patent ductus arteriosus, atrial and interventricular septal defects, tetralogy of Fallot. 32,40,41 • Gastrointestinal (30-50%): Absence of liver, spleen, pancreas, mesocolon, imperforate anus, 3,38,42 intestinal malrotation and malfixation in 30% of cases, 2,42 volvulus, atresias and stenosis (especially of colon), anal and intestinal atresias, persistence of cloaca, 2 tracheoesophagical fistulas, ascitis, visceromegaly or Beckwith-Wiedemann syndrome 38 (Fig. 7).…”

Section: Genitourinary Tract Alterationsmentioning

confidence: 99%

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Prune-belly Syndrome versus Posterior Urethral Valve

Bonilla‐Musoles¹,

Raga²,

Bonilla³

et al. 2010

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Recent development of three-dimensional (3D) and four-dimensional ultrasound (4D), specially using tomographic ultrasound image (TUI), inverse mode, automatic volume calculation (AVC) and virtual organ computer-aided analysis (VOCAL), provided us with new possibilities to study fetal low urinary obstructions before 24th week. Ultrasound scan studies have been conducted in order to provide information about prune-belly syndrome and posterior urethral valves (PUV). The purpose of this paper is to give brief anatomical, histological and ultrasound review to use 3D and 4D US in the assessment of both syndromes. Objectives Define possibilities to differentiate with ultrasound between fetal prune-belly (PB) and posterior urethral valves (PUV) syndromes. Describe the ultrasound images and accompanying malformations in both syndromes. Evaluate the value of different US modes for differential diagnoses.

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Section: Genitourinary Tract Alterationsmentioning

confidence: 99%

“…• Central nervous system: Craniosynostosis, microcephaly, hydrocephaly 3 • Pulmonary: Cystic adenomatoid malformation. 38 • Chromosomopathies: 1,42 -Trisomy 18 43 -Trisomy 13 44 -Trisomy 21, frequent 45 -45 XO, rare 1,38…”

Section: Genitourinary Tract Alterationsmentioning

confidence: 99%

Prune-belly Syndrome versus Posterior Urethral Valve

Bonilla‐Musoles¹,

Raga²,

Bonilla³

et al. 2010

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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“…Cianciosi et al suggested the following mechanisms for accompanied hydramnios in abdominal cystic masses: (a) the compression of the adjacent bowel by the expanding cyst causing a hypoperistaltic intestine, or reduction of the absorptive capacity of the stomach and bowel by modifying the gastrointestinal vascularization, and (b) the depression Q4 or an incorrect swallowing process, as suggested by tongue protrusion, reducing the fluid removal from the amniotic cavity. 14 The differential diagnosis of imperforate hymen is from labial adhesions, vaginal atresia, vaginal agenesis, and transverse vaginal septum. However, the abdominal mass has to be diagnosed differentially from distental urinary bladder, ovarian tumors and neoplasms, mesenteric cysts, anterior meningoceles, reduplication of sigmoid and sacral tumors.…”

Section: U N C O R R E C T E D P R O O Fmentioning

confidence: 99%

Congenital Imperforate Hymen with Hydrocolpos and Hydronephrosis associated with Severe Hydramnios and Increase of Maternal Ovarian Steroidogenic Enzymes

Karteris

Foster

Karamouti

et al. 2010

Journal of Pediatric and Adolescent Gynecology

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Abstract. Study Objective: To study a clinical features of patient presented with severe hydramnios, associated with hydronephrosis, that was antenatally diagnosed and has been successfully treated immediately after birth. At a molecular level, we investigated the gene expression of key steroidogenic enzymes from the maternal ovary.Design: Ultrasound scan, MRI, semi-quantitative RT-PCR Setting: The patient was admitted to the University Hospital, University of Crete, Medical School, Greece, where all clinical data has been obtained. Gene expression studies took place at Biosciences, Brunel University, UK.Results: Semi-quantitative RT-PCR analyses revealed that there is upregulation of key steroidogenic genes in the maternal ovary, including steroidogenic acute regulatory protein, and the cytochrome P450 heme-containing proteins CYP11A, CYP17 and CYP19. From a clinical perspective, the prenatal ultrasound scan and MRI findings showed a multicystic pelvic mass, bilateral hydronephrosis and prior to delivery severe polyhydramnios.Conclusion: This clinical case is the only one that we have found in the current literature where congenital imperforate hymen accompanied with hematocolpos is associated with renal obstruction in combination with polyhydramnios and increase in maternal steroidogenic enzymes.

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