Serial fetal magnetic resonance imaging of cloacal exstrophy |
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| Authors: | Toshiko Yamano Kumiko Ando Reiichi Ishikura Shozo Hirota |
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| Affiliation: | (1) Prenatal Diagnostic Service, AUSL Reggio Emilia, Via Amendola, 1, 42100 Reggio Emilia, Italy;(2) Prenatal Diagnostic Service, Azienda Ospedaliera “Carlo Poma”, Mantua, Mantua, Italy;(3) Pathologic Anatomy, Arcispedale “Santa Maria Nuova”, Reggio Emilia, Italy;(4) Neonatal Intensive Care Unit, Hospital “Santa Maria alle Scotte”, University of Siena, Siena, Italy;(5) Prenatal Diagnostic Service, Guastalla Civil Hospital, Via Donatori Sangue, 2, 42016 Guastalla, Reggio Emilia, Italy |
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| Abstract: | Cloacal exstrophy (CE) is a rare congenital malformation involving the urinary, intestinal, and genital systems. We present a case of CE in which characteristic findings were detected at two serial fetal magnetic resonance imaging (MRI) sessions. At 18 weeks’ gestation, the initial fetal MRI revealed a cystic mass protruding from the infra-umbilical abdominal wall. During fetal development, the cystic mass disappeared, and an omphalocele and heterogeneous soft tissue mass were recognized at 28 weeks’ gestation. The bladder was not visualized on either examination. CE can be diagnosed by prenatal MRI, thereby permitting prenatal counseling and appropriate postnatal management. |
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