Persistent cloaca with fetal ascites: clinical features and perinatal management

Yamamichi, Taku; Sakai, Takaaki; Yoshida, Mina; Takayama, Keita; Uga, Naoko; Umeda, Satoshi; Maékawa, Shohei; Usui, Noriaki

doi:10.1007/s00383-022-05204-0

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…An ultrasound examination at the 27th week of gestation revealed abdominal fluid accumulation and turbidity, coinciding with the initiation of meconium peritonitis. The literature suggests a significant association between fetal ascites and various factors, including preterm birth, higher birth weight z-score, birth via emergency cesarean delivery, and low Apgar scores at 1 and 5 min [ 15 ]. Our case was consistent with literature reports, which also presented with preterm labor and respiratory distress [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Prenatal ultrasound manifestations of partial urorectal septum malformation sequence from the first trimester to postnatal: a case report

She,

Lin,

Huang

et al. 2023

BMC Pregnancy Childbirth

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Background Urorectal septum malformation sequence (URSMS) is characterized by incomplete partitioning of the genital, rectal, and urinary tracts, resulting in a severe form of anorectal malformation. The partial URSMS, also known as the persistent cloaca, represents a milder variant where a single perineal opening serves as a passage for the urinary, gastrointestinal, and reproductive tracts. Case presentation We present a rare case of partial URSMS accompanied by duplicated vagina and uterus, hydronephrosis, ascites, and anal atresia. Conclusions This case report describes the sonographic findings at different stages of pregnancy and their changes throughout gestation.

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Section: Discussionmentioning

confidence: 99%

Prenatal ultrasound manifestations of partial urorectal septum malformation sequence from the first trimester to postnatal: a case report

She,

Lin,

Huang

et al. 2023

BMC Pregnancy Childbirth

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Persistent urogenital sinus with recto-vaginal fistula: the new variant in which the anus is normally positioned and literature review

2023

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Background Persistent urogenital sinus is a rare cloacal anomaly in which the urinary and genital tracts cannot be differentiated during embryonic development. However, the presence of concomitant recto-urogenital sinus or recto-vaginal fistula is much rarer. In the literature, only two cases with accompanying fistula have been presented so far. Case presentation We present the diagnosis and treatment management of a persistent urogenital sinus case with recto-vaginal fistula. We also aimed to reveal the difference between our patient, who is the 3rd case in the literature, and the other two and the described cloacal anomalies. By performing total urogenital sinus mobilization and fistula repair, the three systems were separated from each other, and both a functional and cosmetic appearance was obtained. Conclusion It should be kept in mind that there may be different variants other than the defined cloacal malformations. In patients with cloacal malformation, cystoscopy and rectoscopy should be performed to reveal the anatomy before reconstructive surgery in order to avoid any unexpected situation.

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Persistent cloaca with fetal ascites: clinical features and perinatal management

Cited by 2 publications

References 18 publications

Prenatal ultrasound manifestations of partial urorectal septum malformation sequence from the first trimester to postnatal: a case report

Prenatal ultrasound manifestations of partial urorectal septum malformation sequence from the first trimester to postnatal: a case report

Persistent urogenital sinus with recto-vaginal fistula: the new variant in which the anus is normally positioned and literature review

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