Partial urorectal septum malformation sequence with prune belly syndrome and oesophageal atresia with a tracheoesophageal fistula

The concurrence of Urorectal Septum Malformation (URSM) Sequence and Prune Belly Syndrome are extremely uncommon, with increased rarity with the coexistence of an oesophageal atresia with tracheoesophageal fistula. The URSM is denoted by an absence of perineal/anal orifices together with ambiguous g...

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Main Authors: N.Z. Mashavave, D.S. Harrison, A.D. Grieve
Format: Article
Language:English
Published: Elsevier 2019-04-01
Series:Journal of Pediatric Surgery Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576619300557
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author N.Z. Mashavave
D.S. Harrison
A.D. Grieve
author_facet N.Z. Mashavave
D.S. Harrison
A.D. Grieve
author_sort N.Z. Mashavave
collection DOAJ
description The concurrence of Urorectal Septum Malformation (URSM) Sequence and Prune Belly Syndrome are extremely uncommon, with increased rarity with the coexistence of an oesophageal atresia with tracheoesophageal fistula. The URSM is denoted by an absence of perineal/anal orifices together with ambiguous genitalia, urogenital, colorectal and lumbosacral anomalies. A persistent cloaca or a partial URSMS entails a single anal/perineal opening that drains the urethra, vagina and rectum. Prune belly syndrome (PBS) encompasses the triad of urological connective tissue anomalies, absence or weakened abdominal walls, and cryptorchidism. In patients that do not fulfil the complete criteria a term pseudo-prune belly syndrome (PPBS) is used. The Prune belly spectrum is associated with poor prognosis due to pulmonary and renal complications. We discuss a rare case of a neonate with pseudo-prune belly syndrome, partial urorectal septum malformation and oesophageal atresia with tracheoesophageal fistula. Keywords: Partial urorectal septum malformation sequence (URSMS), Cloaca, Prune belly syndrome, Oesophageal atresia/tracheoesophageal fistula
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spelling doaj.art-6ce8b23143954ab1aa039d30f64aee142022-12-21T20:12:11ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662019-04-01438386Partial urorectal septum malformation sequence with prune belly syndrome and oesophageal atresia with a tracheoesophageal fistulaN.Z. Mashavave0D.S. Harrison1A.D. Grieve2Department of Paediatric Surgery, Chris Hani Baragwanath Academic Hospital and Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa; Corresponding author. Paediatric Surgery, Department Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, PO Box 2648, Parklands, Johannesburg, South Africa.Department of Paediatric Surgery, Chris Hani Baragwanath Academic Hospital and Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South AfricaDepartment of Paediatric Surgery, Nelson Mandela Children's Hospital and Faculty of Health Sciences, Department of Paediatric Surgery, University of the Witwatersrand, South AfricaThe concurrence of Urorectal Septum Malformation (URSM) Sequence and Prune Belly Syndrome are extremely uncommon, with increased rarity with the coexistence of an oesophageal atresia with tracheoesophageal fistula. The URSM is denoted by an absence of perineal/anal orifices together with ambiguous genitalia, urogenital, colorectal and lumbosacral anomalies. A persistent cloaca or a partial URSMS entails a single anal/perineal opening that drains the urethra, vagina and rectum. Prune belly syndrome (PBS) encompasses the triad of urological connective tissue anomalies, absence or weakened abdominal walls, and cryptorchidism. In patients that do not fulfil the complete criteria a term pseudo-prune belly syndrome (PPBS) is used. The Prune belly spectrum is associated with poor prognosis due to pulmonary and renal complications. We discuss a rare case of a neonate with pseudo-prune belly syndrome, partial urorectal septum malformation and oesophageal atresia with tracheoesophageal fistula. Keywords: Partial urorectal septum malformation sequence (URSMS), Cloaca, Prune belly syndrome, Oesophageal atresia/tracheoesophageal fistulahttp://www.sciencedirect.com/science/article/pii/S2213576619300557
spellingShingle N.Z. Mashavave
D.S. Harrison
A.D. Grieve
Partial urorectal septum malformation sequence with prune belly syndrome and oesophageal atresia with a tracheoesophageal fistula
Journal of Pediatric Surgery Case Reports
title Partial urorectal septum malformation sequence with prune belly syndrome and oesophageal atresia with a tracheoesophageal fistula
title_full Partial urorectal septum malformation sequence with prune belly syndrome and oesophageal atresia with a tracheoesophageal fistula
title_fullStr Partial urorectal septum malformation sequence with prune belly syndrome and oesophageal atresia with a tracheoesophageal fistula
title_full_unstemmed Partial urorectal septum malformation sequence with prune belly syndrome and oesophageal atresia with a tracheoesophageal fistula
title_short Partial urorectal septum malformation sequence with prune belly syndrome and oesophageal atresia with a tracheoesophageal fistula
title_sort partial urorectal septum malformation sequence with prune belly syndrome and oesophageal atresia with a tracheoesophageal fistula
url http://www.sciencedirect.com/science/article/pii/S2213576619300557
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AT adgrieve partialurorectalseptummalformationsequencewithprunebellysyndromeandoesophagealatresiawithatracheoesophagealfistula