Document Detail

The split notochord syndrome with dorsal enteric fistula, meningomyelocele and imperforate anus.
MedLine Citation:
PMID:  10770692     Owner:  NLM     Status:  MEDLINE    
A male infant was referred to our department because of lumbosacral meningomyelocele, dorsal enteric fistula and imperforate anus. The mother had received a parenteral drug containing estradiol benzoate and progesterone for inducing abortion in the first trimester. She also used an anal pomade containing triamcinolone and lidocaine-HCl during the pregnancy for hemorrhoids. Sigmoid end colostomy was performed after meningomyelocele repair. On abdominal exploration a wandering spleen was detected but no other anomalies. Two months later, an abdominoperineal pullthrough was performed, and the patient was discharged well after three weeks. Our case is the sixth that had split notochord syndrome associated with dorsal enteric fistula and imperforate anus. Additionally, penoscrotal transposition and wandering spleen were present in this case. To our knowledge, these associated anomalies have been extremely rare.
H Dindar; T Kanmaz; M Cakmak; C Savaş; S Yücesan
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Turkish journal of pediatrics     Volume:  41     ISSN:  0041-4301     ISO Abbreviation:  Turk. J. Pediatr.     Publication Date:    1999 Jan-Mar
Date Detail:
Created Date:  2000-04-27     Completed Date:  2000-04-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417505     Medline TA:  Turk J Pediatr     Country:  TURKEY    
Other Details:
Languages:  eng     Pagination:  147-50     Citation Subset:  IM    
Department of Pediatric Surgery, Ankara University Faculty of Medicine.
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MeSH Terms
Abnormalities, Multiple / chemically induced,  surgery*
Abortion, Induced / adverse effects
Anus, Imperforate / chemically induced,  surgery*
Cutaneous Fistula / chemically induced,  congenital*,  surgery*
Estradiol / adverse effects,  analogs & derivatives
Infant, Newborn
Intestinal Fistula / chemically induced,  congenital*,  surgery*
Meningomyelocele / chemically induced,  surgery*
Notochord / abnormalities*
Progesterone / adverse effects
Reg. No./Substance:
50-28-2/Estradiol; 50-50-0/estradiol 3-benzoate; 57-83-0/Progesterone

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

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