Document Detail

Genital outflow tract obstruction in an adolescent with cloacal exstrophy.
MedLine Citation:
PMID:  2381644     Owner:  NLM     Status:  MEDLINE    
The combination of congenital anomalies in patients with cloacal exstrophy presents a difficult management problem. Experience with these problems is limited because of the infrequent occurrence of the disorder and because few patients survive to adulthood. The present paper describes a 14-year-old female who presented with hyperchloremic metabolic acidosis, secondary to retained urine in a redundant ileal conduit, and symptoms of müllerian outflow tract obstruction. The literature is reviewed on genetic females with cloacal exstrophy, revealing a high incidence of müllerian fusion defects. Data are presented showing that women with cloacal exstrophy have a high potential incidence of genital outflow tract obstruction. These patients must be followed closely during adolescence so that diagnosis and treatment may be initiated early.
P M Visnesky; J H Texter; P C Galle; G G Walker; M A McRae
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  76     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1990 Sep 
Date Detail:
Created Date:  1990-09-13     Completed Date:  1990-09-13     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  548-51     Citation Subset:  AIM; IM    
Department of Surgery, Southern Illinois University School of Medicine, Springfield.
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MeSH Terms
Abnormalities, Multiple* / pathology,  surgery
Bladder Exstrophy / pathology*,  surgery
Cloaca / pathology*,  surgery
Mullerian Ducts / pathology,  surgery*
Uterus / pathology,  surgery*

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