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Diagnosis of Persistent Cloaca by Ultrasonography and MRI: A Case Report

Patient: Female, 38-year-old Final Diagnosis: Persistent cloaca Symptoms: Hydrocolpos • hydronephrosis • oligohydramnios Medication:— Clinical Procedure: Magnetic resonance imaging • ultrasonography Specialty: Obstetrics and Gynecology OBJECTIVE: Congenital defects/diseases BACKGROUND: Persistent cl...

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Autores principales: Kawamura, Takakazu, Kamo, Aki, Nishiguchi, Tomizo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237796/
https://www.ncbi.nlm.nih.gov/pubmed/32381998
http://dx.doi.org/10.12659/AJCR.921576
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author Kawamura, Takakazu
Kamo, Aki
Nishiguchi, Tomizo
author_facet Kawamura, Takakazu
Kamo, Aki
Nishiguchi, Tomizo
author_sort Kawamura, Takakazu
collection PubMed
description Patient: Female, 38-year-old Final Diagnosis: Persistent cloaca Symptoms: Hydrocolpos • hydronephrosis • oligohydramnios Medication:— Clinical Procedure: Magnetic resonance imaging • ultrasonography Specialty: Obstetrics and Gynecology OBJECTIVE: Congenital defects/diseases BACKGROUND: Persistent cloacal malformations are rare anomalies that are anorectal malformations occurring in females. In cases of persistent cloaca, prenatal ultrasonography shows fetal ascites, cystic tumor in the abdomen, oligohydramnios, and hydronephrosis. There are various types of persistent cloaca, and symptoms vary. CASE REPORT: A 38-year-old pregnant woman was referred to our hospital because of suspected fetal expansion of the intestinal tract. Prenatal ultrasonography revealed a fetal growth restriction, oligohydramnios, fetal abdominal cyst, and bilateral hydronephrosis, and persistent cloaca was suspected. Also, magnetic resonance imaging (MRI) revealed a double uterus and bilateral hydronephrosis, hydrocolpos; as such, persistent cloaca was diagnosed. Cesarean section was performed at 36 weeks+3 days gestation and delivered a female infant weighing 1957 g, with Apgar scores of 9 (1 min)/9 (5 min). CONCLUSIONS: We report a case of persistent cloaca detected in the prenatal ultrasonography and MRI examination. Prenatal diagnosis is important because it can lead to a better outcome for infants with persistent cloaca. In the image inspection in persistent cloaca, there are characteristic findings such as ascites, cystic tumor in the abdomen, difficulty in visualizing the bladder, oligohydramnios, and hydronephrosis. So, if persistent cloaca is suspected, use of ultrasonography and MRI will allow its diagnosis.
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spelling pubmed-72377962020-06-01 Diagnosis of Persistent Cloaca by Ultrasonography and MRI: A Case Report Kawamura, Takakazu Kamo, Aki Nishiguchi, Tomizo Am J Case Rep Articles Patient: Female, 38-year-old Final Diagnosis: Persistent cloaca Symptoms: Hydrocolpos • hydronephrosis • oligohydramnios Medication:— Clinical Procedure: Magnetic resonance imaging • ultrasonography Specialty: Obstetrics and Gynecology OBJECTIVE: Congenital defects/diseases BACKGROUND: Persistent cloacal malformations are rare anomalies that are anorectal malformations occurring in females. In cases of persistent cloaca, prenatal ultrasonography shows fetal ascites, cystic tumor in the abdomen, oligohydramnios, and hydronephrosis. There are various types of persistent cloaca, and symptoms vary. CASE REPORT: A 38-year-old pregnant woman was referred to our hospital because of suspected fetal expansion of the intestinal tract. Prenatal ultrasonography revealed a fetal growth restriction, oligohydramnios, fetal abdominal cyst, and bilateral hydronephrosis, and persistent cloaca was suspected. Also, magnetic resonance imaging (MRI) revealed a double uterus and bilateral hydronephrosis, hydrocolpos; as such, persistent cloaca was diagnosed. Cesarean section was performed at 36 weeks+3 days gestation and delivered a female infant weighing 1957 g, with Apgar scores of 9 (1 min)/9 (5 min). CONCLUSIONS: We report a case of persistent cloaca detected in the prenatal ultrasonography and MRI examination. Prenatal diagnosis is important because it can lead to a better outcome for infants with persistent cloaca. In the image inspection in persistent cloaca, there are characteristic findings such as ascites, cystic tumor in the abdomen, difficulty in visualizing the bladder, oligohydramnios, and hydronephrosis. So, if persistent cloaca is suspected, use of ultrasonography and MRI will allow its diagnosis. International Scientific Literature, Inc. 2020-05-08 /pmc/articles/PMC7237796/ /pubmed/32381998 http://dx.doi.org/10.12659/AJCR.921576 Text en © Am J Case Rep, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Kawamura, Takakazu
Kamo, Aki
Nishiguchi, Tomizo
Diagnosis of Persistent Cloaca by Ultrasonography and MRI: A Case Report
title Diagnosis of Persistent Cloaca by Ultrasonography and MRI: A Case Report
title_full Diagnosis of Persistent Cloaca by Ultrasonography and MRI: A Case Report
title_fullStr Diagnosis of Persistent Cloaca by Ultrasonography and MRI: A Case Report
title_full_unstemmed Diagnosis of Persistent Cloaca by Ultrasonography and MRI: A Case Report
title_short Diagnosis of Persistent Cloaca by Ultrasonography and MRI: A Case Report
title_sort diagnosis of persistent cloaca by ultrasonography and mri: a case report
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237796/
https://www.ncbi.nlm.nih.gov/pubmed/32381998
http://dx.doi.org/10.12659/AJCR.921576
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