A unique defect - persistent posterior cloaca: An example of staged genito-urinary and digestive tract reconstruction with an alternative vaginal creation using the urinary bladder wall

Autor:	Andrzej Gołębiewski, Anna Bryks-Laszkowska, Piotr Czauderna, Mariusz Sroka, Leszek Komasara
Rok vydání:	2017
Předmět:	medicine.medical_specialty Megaureter Urology medicine.medical_treatment Urinary Bladder 030232 urology & nephrology Pubic symphysis Anastomosis 03 medical and health sciences 0302 clinical medicine Cloaca Colon Sigmoid Ileum medicine Humans Abnormalities Multiple urogenital system business.industry Infant Newborn Colostomy Sigmoid colon Anatomy Plastic Surgery Procedures medicine.disease Surgery Neck of urinary bladder Treatment Outcome medicine.anatomical_structure Cloaca (embryology) Urogenital Abnormalities 030220 oncology & carcinogenesis Vagina Female Ureter business
Zdroj:	International Journal of Urology. 24:468-471
ISSN:	0919-8172
DOI:	10.1111/iju.13332
Popis:	We present a case of a girl with an extremely rare, posterior type of persistent cloaca, which was associated with other abnormalities, including an undeveloped vulva and vagina, agenesis of the right kidney, secondary obstructive megaureter, unicornate uterus, persisted tailgut, sacral bone hypoplasia, and pubic symphysis hypertrophy. An operative approach was as follows: (i) colostomy and ureterocutaneostomy; (ii) creation of an ileal conduit with antirefluxing uretero-ileal anastomosis, and then creation of a continent catheterizable ileal reservoir; (iii) anastomosis of sigmoid colon to rectal stump; and (iv) vaginal and external genital reconstruction. Because of abnormal anatomical conditions where the uterus was situated adjacent to the open, incompetent bladder neck, we decided to create a vagina using the bladder wall instead of the bowel segment.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a45f1258057762b33a4286b56c79eabc https://doi.org/10.1111/iju.13332 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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