Fetal Urinary Obstruction and Intervention for Sacrococcygeal Teratoma: A Case Report From Kenya
10.1097/FM9.0000000000000233
- VernacularTitle:Fetal Urinary Obstruction and Intervention for Sacrococcygeal Teratoma: A Case Report From Kenya
- Author:
Mwangi Maryanne MUTHONI
1
;
Sikolia WANYONYI
;
Stanley MUGAMBI
Author Information
1. Department of Obstetrics and Gynaecology, Aga Khan University, Nairobi 30270-00100, Kenya
- Publication Type:Journal Article
- Keywords:
Lower urinary tract symptom;
Fetal lower urinary tract obstruction;
Vesicocentesis;
Sacrococcygeal teratoma;
Rectourinary fistula
- From:
Maternal-Fetal Medicine
2024;06(3):196-200
- CountryChina
- Language:English
-
Abstract:
Fetal lower urinary tract obstruction is a rare condition commonly associated with significant perinatal morbidity and mortality, particularly when detected in the second trimester. The concurrent presentation of a recto-urethral fistula with membranous urethral atresia and sacrococcygeal teratoma has not been reported. We describe a case of extrinsic fetal lower urinary tract obstruction related to a recto-urethral fistula, diagnosed at 33 weeks gestation and managed by serial vesicocentesis until 38 weeks. This case, notable for its absence of hypoplasia despite late diagnosis, resulted in a term delivery of a male infant. After delivery, pediatric surgeons performed an abdominal perineal resection of the tumor. Fetal vesicocentesis remains a viable management option for patients without access to intrauterine surgical interventions.
