Antenatal Diagnosis of Vesicocolic Fistula

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.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Antenatal Diagnosis of Vesicocolic Fistula ; day:14 ; month:02 ; year:2024
Journal of fetal medicine ; (14.02.2024)

Contributor
Gupta, Ashutosh
Aneja, Anjila
Bahl, Neena
Arora, Rupam
Nadir, Lovelenna
Saini, Pankaj

DOI
10.1055/s-0044-1779436
URN
urn:nbn:de:101:1-2024040410490805827044
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:52 AM CEST

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Associated

  • Gupta, Ashutosh
  • Aneja, Anjila
  • Bahl, Neena
  • Arora, Rupam
  • Nadir, Lovelenna
  • Saini, Pankaj

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