Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2010; 20(02): 143-146
DOI: 10.4103/0971-3026.63041
Obstetric

Case report: Antenatal MRI diagnosis of cloacal dysgenesis syndrome

P Gupta
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India
,
S Kumar
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India
,
Raju Sharma
Department of Radio-Diagnosis, All India Institute of Medical Sciences, New Delhi, India
,
A Gadodia
Department of Radio-Diagnosis, All India Institute of Medical Sciences, New Delhi, India
› Author Affiliations
› Further Information
  PDF Download Permissions and Reprints

Abstract

Cloacal dysgenesis sequence (CDS) is a lethal malformation with a highly variable presentation. CDS is characterized by direct communication between the gastrointestinal, urinary, and genital structures, resulting in a single perineal opening. Prenatal diagnosis of a cloacal anomaly is often difficult because of the highly variable imaging features. Here, we report a case in which a diagnosis of CDS was made with fetal MRI on the basis of a meconium-containing, bilobed, abdominopelvic cystic mass communicating with the ureters and the colon.

Keywords

Cloacal dysgenesis - fetus - MRI - prenatal diagnosis


Publication History

Article published online:
02 August 2021

© 2010. Indian Radiological Association. 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/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Warne S, Chitty LS, Wilcox DT. Prenatal diagnosis of cloacal anomalies. BJU Int 2002;89:78-81.
  • 2 Qureshi F, Jacques SM, Yaron Y, Kramer RL, Evans MI, Johnson MP. Prenatal diagnosis of cloacal dysgenesis sequence: Differential diagnosis from other forms of fetal obstructive uropathy. Fetal Diagn Ther 1998;13:69-74.
  • 3 Stephens FD. Embryology of the cloaca and embryogenesis of anorectal malformations. Birth Defects 1988;24:177-209.
  • 4 Escobar LF, Weaver DD, Bixler D, Hodes ME, Mitchell M. Urorectal septum malformation sequence: Report of six cases and embryological analysis. Am J Dis Child 1987;141:1021-4.
  • 5 Saguintaah M, Couture A, Veyrac C, Baud C, Quere MP. MRI of the fetal gastrointestinal tract. Pediatr Radiol 2002;32:395-404.
  • 6 Shinmoto H, Kuribayashi S. MRI of fetal abdominal abnormalities. Abdom Imaging 2003;28:877-86.
  • 7 Odibo AO, Turner GW, Borgida AF, Rodis JF, Campbell WA. Late prenatal ultrasound features of hydrometrocolpos secondary to cloacal anomaly: Case reports and review of the literature. Ultrasound Obstet Gynecol 1997;9:419-21.
  • 8 Hung YH, Tsai CC, Ou CY, Cheng BH, Yu PC, Hsu TY. Late prenatal diagnosis of hydrometrocolpos secondary to a cloacal anomaly by abdominal ultrasonography with complementary magnetic resonance imaging. Taiwan J Obstet Gynecol 2008;47:79-83
  • 9 Waters EG. Cloacal dysgenesis: Related anomalies and pregnancies. Obstet Gynecol 1982;59:398-402.
  • 10 Lubusky M, Prochazka M, Dhaifalah I, Horak D, Geierova M, Santavy J. Fetal enterolithiasis: Prenatal sonographic and MRI diagnosis in two cases of urorectal septum malformation (URSM) sequence. Prenat Diagn 2006;26:345-9.
  • 11 Cilento BG Jr, Benacerraf BR, Mandell J. Prenatal diagnosis of cloacal malformation. Urology 1994;43:386-8.
  • 12 Zaccara A, Gatti C, Silveri M, Rivosecchi M, Bilancioni E, Spina V, et al. Persistent cloaca: Are we ready for a correct prenatal diagnosis? Urology 1999;54:367.
  • 13 Cacciaguerra S, Lo Presti L, Di Leo L, Grasso S, Gangarossa S, Di Benedetto V, et al. Prenatal diagnosis of cloacal anomaly. Scand J Urol Nephrol 1998;32:77-80
  • 14 Morikawa M, Yamada T, Cho K, Yamada H, Minakami H. Prenatal diagnosis and therapy of persistent cloaca: A case report. Fetal Diagn Ther 2006;21:343-7.