The prenatal diagnosis of cloacal dysgenesis sequence in six cases: can the termination of pregnancy always be the first choice?
| Autor: | Zeki Sahinoglu, Baris Mulayim, Selçuk Özden, Ferda Ozkan, Remziye Bilgiç, Şeref Etker, Aysenur Cerrah Celayir |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Urologic Diseases medicine.medical_specialty Turkey Oligohydramnios Prenatal diagnosis Ultrasonography Prenatal Pulmonary hypoplasia Cloaca Pregnancy medicine Humans Abnormalities Multiple Sex organ Genetics (clinical) Gynecology Obstetrics business.industry Obstetrics and Gynecology Abortion Induced medicine.disease Hypoplasia Perineum Fetal Diseases medicine.anatomical_structure Pregnancy Trimester Second Female Differential diagnosis business |
| Zdroj: | Prenatal Diagnosis. 24:10-16 |
| ISSN: | 1097-0223 0197-3851 |
| DOI: | 10.1002/pd.768 |
| Popis: | Objective Cloacal dysgenesis sequence is a lethal malformation, which usually requires termination. In this study, our aim was to evaluate the prenatal and postnatal diagnostic features of cloacal dysgenesis sequence and review the management of the patients. Material and Methods The data of six cases of cloacal dysgenesis sequences were collected from the ultrasonography and neonatal records. The findings were evaluated in prenatal and postnatal periods. Chromosomal analysis was performed in all the cases. The evaluation of primary and secondary malformations was done. Coexisting anomalies were searched for by radiology and histopathology. Results Malformations in six cases (two females and four males) were described. The absence of anal, genital, and urinary openings with intact perineum covered by smooth skin were common findings. These features were considered as primary malformations for cloacal dysgenesis sequence. Secondary anomalies (urinary and gastrointestinal system malformations, pulmonary hypoplasia, and other coexisting anomalies) were evaluated. Conclusion The prenatal differential diagnosis of cloacal dysgenesis sequence from other urinary obstructive diseases was essential regarding fetal prognosis, prenatal, and neonatal management. The bladder outlet obstruction and pulmonary hypoplasia due to reduced amniotic fluid and/or kidney disease were considered prognostic factors for neonatal death. Termination of pregnancy is almost always recommended instead of intrauterine shunt procedures; but if we take into consideration one of our cases and a few reported cases who survived in the neonatal period, the prenatal management of these pregnancies needs to be reevaluated. Copyright © 2003 John Wiley & Sons, Ltd. |
| Databáze: | OpenAIRE |
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