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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Rolle, U; Faber, R; Robet-Tittig, E; Muensterer, O; Hirsch, W; Till, H.
Bladder outlet obstruction causes fetal enterolithiasis in anorectal malformation with rectourinary fistula
J Pediatr Surg. 2008; 43(4):e11-e13
Doi: 10.1016/j.jpedsurg.2007.11.030
(- Case Report)
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- Co-authors Med Uni Graz
- Till Holger
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- Abstract:
- Extraluminal calcified meconium is found frequently by prenatal ultrasound in cases with bowel perforation and meconium peritonitis. Intraluminal intestinal meconium calcifications are rarely seen in prenatal sonography. Meconium calcifications result from a mixture of meconium and urine that indicates a connection between intestinal and urinary tract. We report a case of a male newborn prenatally diagnosed with intraluminal echogenic calcifications at 23 weeks of gestation, suggesting an anorectal malformation (ARM) with rectourinary fistula. At birth, the child presented with a complex ARM including high anal atresia with both perineal and rectourethral fistula. Furthermore, a bladder outlet obstruction due to a urethral stenosis was diagnosed. Vesicostomy was performed as an emergency procedure followed by colostomy during neonatal period. Posterior sagittal anorectoplasty was performed at the age of 4 months. Prenatal echogenic calcifications within bowel should raise the suspicion of ARM with rectourinary fistula and bladder outlet obstruction.
- Find related publications in this database (using NLM MeSH Indexing)
- Abnormalities, Multiple - diagnosis Abnormalities, Multiple - therapy
- Anal Canal - abnormalities
- Calcinosis - diagnosis
- Colostomy -
- Humans -
- Infant, Newborn -
- Male -
- Meconium -
- Rectal Fistula - diagnosis
- Rectum - abnormalities
- Ultrasonography, Prenatal -
- Urinary Bladder Neck Obstruction - diagnosis
- Urinary Fistula - diagnosis
- Find related publications in this database (Keywords)
- prenatal diagnosis
- fetal enterolithiasis
- anorectal malformation
- bladder outlet obstruction