Upper Urinary Tract Abnormalities: A Case of Bilateral Kidneys Within a Left-sided Omphalocele

Children with omphalocele, exstrophy, imperforate anus, and spinal defects complex present with the most severe form of birth defects in the exstrophy-epispadias spectrum. Prenatal diagnosis is difficult, but improved survival over the past several decades makes understanding the potential anatomic...

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Published inUrology (Ridgewood, N.J.) Vol. 84; no. 5; pp. 1211 - 1213
Main Authors DeRosa, Raffaella, Musser, John E, Rooks, Veronica J, McPherson, John, McMann, Leah P
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.11.2014
Elsevier
Subjects
Abnormalities, Multiple - diagnosis
Anus, Imperforate - complications
Biological and medical sciences
Fatal Outcome
Hernia, Umbilical - complications
Humans
Infant, Newborn
Kidney - abnormalities
Medical sciences
Nephrology. Urinary tract diseases
Spinal Cord - abnormalities
Urinary Tract - abnormalities
Urology
Nephrology
Left
Urinary system
Malformation
Abdominal disease
Abdominal wall
Upper urinary tract
Bilateral
Omphalocele
Kidney
Urology
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Summary:Children with omphalocele, exstrophy, imperforate anus, and spinal defects complex present with the most severe form of birth defects in the exstrophy-epispadias spectrum. Prenatal diagnosis is difficult, but improved survival over the past several decades makes understanding the potential anatomic manifestations imperative for expeditious and appropriate surgical care. The upper urinary tract is often normal in children with omphalocele, exstrophy, imperforate anus, and spinal defects complex, but malposition of one of the kidneys has previously been reported. We present the first case of bilateral kidney herniation into the omphalocele sac.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2014.07.017