Prenatal sonographic diagnosis of urorectal septum malformation sequence in one of twins: a case report
10.3760/cma.j.cn113903-20220928-00855
- VernacularTitle:产前超声诊断双胎之一尿直肠隔畸形序列征1例
- Author:
Pei HU
1
;
Dongping ZHENG
;
Shuang ZHENG
;
Bin XIAO
;
Tianxin HU
;
Jingfang CAO
;
Hongxia JING
Author Information
1. 湖北医药学院附属人民医院超声影像中心，十堰 442000
- Keywords:
Abnormalities, multiple;
Urogenital abnormalities;
Anus, imperforate;
Cloaca;
Ultrasonography, prenatal;
Twins
- From:
Chinese Journal of Perinatal Medicine
2023;26(9):766-768
- CountryChina
- Language:Chinese
-
Abstract:
Urorectal septum malformation sequence (URSMS) is a rare congenital complex malformation characterized by severe abnormalities in the urinary, reproductive and digestive systems. It is difficult to diagnose URSMS by prenatal ultrasound due to its complex and variable manifestations. This paper reported a twin with partial URSMS. Prenatal ultrasound findings included pelvic "trilobe" cystic masses, sacrococcygeal hemivertebral malformations, imperforate anus, and transient ascites. Postnatal examination confirmed the diagnosis of URSMS, as the baby girl was born with anal atresia. Her colon, urethra, and vagina converged and formed a common tract with a single perineal opening. The baby died after her parents' refusal to surgical treatment.
