Fetal cloacal dysgenesis sequence presented with first trimester megacystis and associated umbilical cord abnormalities
Cloacal dysgenesis sequence occurs as a result of complete developmental failure of the urorectal septum. Typically, the sequence is featured by a smooth perineum, without any urethral, genital or anal openings. Its clinical manifestation differs throughout gestation. We report an interesting case o...
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Veröffentlicht in: | The journal of obstetrics and gynaecology research 2020-03, Vol.46 (3), p.527-530 |
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container_title | The journal of obstetrics and gynaecology research |
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creator | Gursoy Erzincan, Selen Sayin, N. Cenk Inan, Cihan Uzun, Isil Yapici Ugurlar, Ozge Varol, Fusun G. |
description | Cloacal dysgenesis sequence occurs as a result of complete developmental failure of the urorectal septum. Typically, the sequence is featured by a smooth perineum, without any urethral, genital or anal openings. Its clinical manifestation differs throughout gestation. We report an interesting case of first trimester megacystis with associated umbilical cord abnormalities in a female fetus having cloacal dysgenesis sequence. This rare association reflecting high urinary pressure should first suggest urethral atresia. Our case highlights the importance of routine inspection of umbilical cord in the workup of early megacystis in terms of both etiology and fetal diagnosis. |
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Our case highlights the importance of routine inspection of umbilical cord in the workup of early megacystis in terms of both etiology and fetal diagnosis.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/jog.14204</identifier><identifier>PMID: 31955475</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Abnormalities, Multiple - diagnostic imaging ; Adult ; Cloaca - abnormalities ; cloacal dysgenesis ; Duodenum - abnormalities ; Duodenum - diagnostic imaging ; Etiology ; Fatal Outcome ; Female ; Fetal Diseases - diagnostic imaging ; Fetuses ; Gestation ; Humans ; Infant, Newborn ; Infant, Premature ; megacystis ; Perinatal Death ; Perineum ; Pregnancy ; Pregnancy Trimester, First ; prenatal ultrasound ; Septum ; Ultrasonography, Prenatal ; Umbilical cord ; umbilical cord cyst ; Urinary Bladder - abnormalities ; Urinary Bladder - diagnostic imaging</subject><ispartof>The journal of obstetrics and gynaecology research, 2020-03, Vol.46 (3), p.527-530</ispartof><rights>2020 Japan Society of Obstetrics and Gynecology</rights><rights>2020 Japan Society of Obstetrics and Gynecology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3044-36c53b5e9c5a14d624d09038bbde69d45bc10220ef91cb907ccaf55303cc6caa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjog.14204$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjog.14204$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31955475$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gursoy Erzincan, Selen</creatorcontrib><creatorcontrib>Sayin, N. Cenk</creatorcontrib><creatorcontrib>Inan, Cihan</creatorcontrib><creatorcontrib>Uzun, Isil</creatorcontrib><creatorcontrib>Yapici Ugurlar, Ozge</creatorcontrib><creatorcontrib>Varol, Fusun G.</creatorcontrib><title>Fetal cloacal dysgenesis sequence presented with first trimester megacystis and associated umbilical cord abnormalities</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Cloacal dysgenesis sequence occurs as a result of complete developmental failure of the urorectal septum. Typically, the sequence is featured by a smooth perineum, without any urethral, genital or anal openings. Its clinical manifestation differs throughout gestation. We report an interesting case of first trimester megacystis with associated umbilical cord abnormalities in a female fetus having cloacal dysgenesis sequence. This rare association reflecting high urinary pressure should first suggest urethral atresia. Our case highlights the importance of routine inspection of umbilical cord in the workup of early megacystis in terms of both etiology and fetal diagnosis.</description><subject>Abnormalities, Multiple - diagnostic imaging</subject><subject>Adult</subject><subject>Cloaca - abnormalities</subject><subject>cloacal dysgenesis</subject><subject>Duodenum - abnormalities</subject><subject>Duodenum - diagnostic imaging</subject><subject>Etiology</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Fetal Diseases - diagnostic imaging</subject><subject>Fetuses</subject><subject>Gestation</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>megacystis</subject><subject>Perinatal Death</subject><subject>Perineum</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, First</subject><subject>prenatal ultrasound</subject><subject>Septum</subject><subject>Ultrasonography, Prenatal</subject><subject>Umbilical cord</subject><subject>umbilical cord cyst</subject><subject>Urinary Bladder - abnormalities</subject><subject>Urinary Bladder - diagnostic imaging</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1PwzAMhiMEgvFx4A-gSpw4dEuapF2OaGIDhMQFzlXquiNTP0acadq_J2PADV9sKY-fyC9j14KPRazJaliOhcq4OmIjoVSR8kLnx3GWSqRTXuRn7JxoxbkojJiesjMpjNaq0CO2nWOwbQLtYCH2ekdL7JEcJYSfG-wBk7VHwj5gnWxd-Ega5ykkwbsOKaBPOlxa2FGIK7avE0s0gLN7fNNVrnV7LQw-vlT94DvbuuCQLtlJY1vCq59-wd7nD2-zx_TldfE0u39JQXKlUpmDlpVGA9oKVeeZqrnhclpVNeamVroCwbOMY2MEVIYXALbRWnIJkIO18oLdHrxrP8R7KJSrYeP7-GWZyXxqVGFyHqm7AwV-IPLYlOt4n_W7UvByH3HcWpbfEUf25se4qTqs_8jfTCMwOQBb1-Luf1P5_Lo4KL8AvEmIQQ</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Gursoy Erzincan, Selen</creator><creator>Sayin, N. 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Cenk ; Inan, Cihan ; Uzun, Isil ; Yapici Ugurlar, Ozge ; Varol, Fusun G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3044-36c53b5e9c5a14d624d09038bbde69d45bc10220ef91cb907ccaf55303cc6caa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abnormalities, Multiple - diagnostic imaging</topic><topic>Adult</topic><topic>Cloaca - abnormalities</topic><topic>cloacal dysgenesis</topic><topic>Duodenum - abnormalities</topic><topic>Duodenum - diagnostic imaging</topic><topic>Etiology</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Fetal Diseases - diagnostic imaging</topic><topic>Fetuses</topic><topic>Gestation</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>megacystis</topic><topic>Perinatal Death</topic><topic>Perineum</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, First</topic><topic>prenatal ultrasound</topic><topic>Septum</topic><topic>Ultrasonography, Prenatal</topic><topic>Umbilical cord</topic><topic>umbilical cord cyst</topic><topic>Urinary Bladder - abnormalities</topic><topic>Urinary Bladder - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gursoy Erzincan, Selen</creatorcontrib><creatorcontrib>Sayin, N. 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subjects | Abnormalities, Multiple - diagnostic imaging Adult Cloaca - abnormalities cloacal dysgenesis Duodenum - abnormalities Duodenum - diagnostic imaging Etiology Fatal Outcome Female Fetal Diseases - diagnostic imaging Fetuses Gestation Humans Infant, Newborn Infant, Premature megacystis Perinatal Death Perineum Pregnancy Pregnancy Trimester, First prenatal ultrasound Septum Ultrasonography, Prenatal Umbilical cord umbilical cord cyst Urinary Bladder - abnormalities Urinary Bladder - diagnostic imaging |
title | Fetal cloacal dysgenesis sequence presented with first trimester megacystis and associated umbilical cord abnormalities |
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