Document Detail

A case report: vesico-rectal fistula with ano-urethral atresia.
MedLine Citation:
PMID:  1492804     Owner:  NLM     Status:  MEDLINE    
Vesico-rectal fistula is a rare congenital abnormality causing severe early second trimester oligohydramnios. Prenatal diagnosis of such a case is reported here. Ultrasound diagnosis could be aided by transabdominal amnio-infusion and, if necessary, fetal intraperitoneal saline installation. In a karyotypically normal fetus with normal somatic growth, demonstration of normal fetal kidneys together with a functioning urinary bladder, in presence of severe oligohydramnios, is very suggestive of the diagnosis. Since pulmonary hypoplasia is the major cause of neonatal mortality in these cases, restoration of normal amniotic fluid volume by serial amnio-infusion was attempted. Although amnio-infusion is an important diagnostic aid in the evaluation of severe midtrimester oligohydramnios, the role of multiple therapeutic amnio-infusion in improving lung growth remains to be evaluated.
C Anandakumar; Y C Wong; A Biswas; A Venkat; D Chia; S Arulkumaran; S S Ratnam
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Asia-Oceania journal of obstetrics and gynaecology / AOFOG     Volume:  18     ISSN:  0389-2328     ISO Abbreviation:  Asia Oceania J Obstet Gynaecol     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-03-02     Completed Date:  1993-03-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8102781     Medline TA:  Asia Oceania J Obstet Gynaecol     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  319-23     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, National University Hospital, Singapore.
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MeSH Terms
Abnormalities, Multiple / ultrasonography
Anal Canal / abnormalities*
Fetal Diseases / ultrasonography*
Lung / abnormalities
Oligohydramnios / ultrasonography
Rectal Fistula / ultrasonography*
Ultrasonography, Prenatal*
Urethra / abnormalities*
Urinary Bladder Fistula / ultrasonography*

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