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Pediatric Radiology

, Volume 40, Supplement 1, pp 1–5 | Cite as

MRI of congenital urethroperineal fistula

  • Maryam Ghadimi-Mahani
  • Jonathan R. Dillman
  • Deepa Pai
  • John Park
  • Michael DiPietro
Case Report

Abstract

We present the MRI features of a congenital urethroperineal fistula diagnosed in a 12-year-old boy being evaluated after a single urinary tract infection. This diagnosis was initially suggested by voiding cystourethrogram and confirmed by MRI. Imaging revealed an abnormal fluid-filled tract arising from the posterior urethra and tracking to the perineal skin surface that increased in size during micturition. Surgical resection and histopathological evaluation of the abnormal tract confirmed the diagnosis of congenital urethroperineal fistula. MRI played important roles in confirming the diagnosis and assisting surgical planning.

Keywords

Congenital urethroperineal fistula Voiding cystourethrogram MRI Urethral duplication 

Notes

Acknowledgement

This paper is based on the 2010 Caffey Award for Best Poster, 1st place case report.

References

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    Brown WC, Dillon PW, Hensle TW (1990) Congenital urethral-perineal fistula: diagnosis and new surgical management. Urology 36:157–159PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Maryam Ghadimi-Mahani
    • 1
  • Jonathan R. Dillman
    • 1
  • Deepa Pai
    • 1
  • John Park
    • 2
  • Michael DiPietro
    • 1
  1. 1.Department of Radiology, Section of Pediatric Radiology, University of Michigan Health SystemC. S. Mott Children’s HospitalAnn ArborUSA
  2. 2.Department of Pediatric Urology, University of Michigan Health SystemC. S. Mott Children’s HospitalAnn ArborUSA

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