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First‐trimester sonographic diagnosis of distal urethral atresia with megalourethra in VACTERL association
Author(s) -
Krapp Martin,
Geipel Annegret,
Germer Ute,
Krokowski Manuela,
Gembruch Ulrich
Publication year - 2002
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.328
Subject(s) - medicine , single umbilical artery , anal atresia , prenatal diagnosis , atresia , spina bifida , fetus , fistula , tracheoesophageal fistula , renal agenesis , pregnancy , obstetrics , surgery , kidney , genetics , biology
Congenital megalourethra is a rare disorder. We present an early case diagnosed in the first trimester. Prenatal ultrasound showed a megalourethra with a normal fetal bladder, hyperechogenic cystic right kidney and single umbilical artery. After termination of pregnancy, necropsy confirmed all sonographic findings and revealed other malformations (spina bifida occulta, anal atresia, tracheo‐oesophageal fistula, brachydactylia) resulting in the diagnosis of VACTERL association. The prenatal diagnostician should seek histological examination firstly to confirm his findings and secondly to avoid missing associations and inherited malformations. Copyright © 2002 John Wiley & Sons, Ltd.