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CC BY-NC-ND 4.0 · Journal of Fetal Medicine
DOI: 10.1055/s-0044-1779436
Case Report

Antenatal Diagnosis of Vesicocolic Fistula

Ashutosh Gupta
1   Department of Foetal Medicine & Medical Genetics, Artemis Hospitals, Gurgaon, Haryana, India
,
Anjila Aneja
2   Department of Minimal Access Surgery (Gynaecology), Fortis Memorial Research Institute, Gurgaon, Haryana, India
,
Neena Bahl
2   Department of Minimal Access Surgery (Gynaecology), Fortis Memorial Research Institute, Gurgaon, Haryana, India
,
Rupam Arora
3   Department of Obstetrics & Gynecology, Cloudnine Hospital, Patparganj, New Delhi, India
,
Lovelenna Nadir
4   Department of Obstetrics & Gynecology, Fortis La Femme, New Delhi, India
,
Pankaj Saini
5   Department of Radiology, Manipal Hospitals, Dwarka, New Delhi, India
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Abstract

Urorectal septum malformation sequence (URSMS) is a rare congenital anomaly characterized by lack of perineal or anal opening, external genital defects, and various urogenital and colonic abnormalities. This condition results from deficient separation of the cloaca and the failure of the membrane to rupture. Here, we present a unique case of URSMS with prenatal diagnosis, which is extremely challenging to identify before birth. Prenatal ultrasonography revealed the presence of intraluminal enterolithiasis in the sigmoid colon, indicating high anal atresia and a vesicocolic fistula. The diagnosis was confirmed postnatally by clinical examination and ascending cystourethrogram. This case highlights the importance of prenatal screening in detecting rare congenital anomalies, and the role of ultrasonography in distinguishing enterolithiasis from other conditions. Moreover, it underscores the significance of precise fistula location determination for optimal neonatal management of anorectal malformations.

Keywords

urorectal septum malformation sequence - prenatal diagnosis - vesicocolic fistula - intraluminal enterolithiasis - ascending cystourethrogram - anorectal malformations


Publication History

Article published online:
14 February 2024

© 2024. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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