Document Detail


Prune belly syndrome associated with cloacal anomaly, patent urachal remnant, and omphalocele in a female infant.
MedLine Citation:
PMID:  21034928     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Prune belly syndrome (PBS), megacystis-microcolon-intestinal hypoperistalsis (MMIH), and omphalocele-exstrophy of the bladder-imperforate anus-spine abnormalities complex (OEIS) are rare congenital malformations of the newborn that lead to incomplete formation of the gastrointestinal and genitourinary tract systems. To date, incomplete mesodermal development is identified as the cause for all these complex genetic syndromes even if the etiology is still unknown. We present an original case sharing characteristics common to PBS, MMIH, and OEIS complex, without a clear inclination toward any particular one. This case hints toward a common pathway in the creation of the 3 syndromes. We hypothesize that they are a spectrum of malformations based on the time frame when the mesoderm fails to create a normal interaction between infraumbilical mesoderm, urorectal septum, lumbosacral somites in the formation of the abdominal wall and the genitourinary and lower gastrointestinal tracts.
Authors:
Stefano Giuliani; Christopher Vendryes; Ajay Malhotra; Donald B Shaul; Dean M Anselmo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  45     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-01     Completed Date:  2010-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e39-42     Citation Subset:  IM    
Copyright Information:
Published by Elsevier Inc.
Affiliation:
Department of Pediatric Surgery, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA. stegiuliani@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / diagnosis*,  surgery
Cloaca / abnormalities*
Diagnosis, Differential
Digestive System Surgical Procedures / methods
Female
Follow-Up Studies
Gynecologic Surgical Procedures / methods
Hernia, Umbilical / diagnosis*,  surgery
Humans
Infant, Newborn
Magnetic Resonance Imaging
Prune Belly Syndrome / diagnosis*,  surgery
Reconstructive Surgical Procedures / methods
Urachus / abnormalities*
Urography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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