Pediatric Surgery International

, Volume 11, Issue 5–6, pp 406–407 | Cite as

Prenatal ultrasonograms showing a reduced amniotic cavity in a patient with

  • T. Shono
  • S. Suita
  • M. Kubota
  • H. Ariga
  • T. Taguchi
  • S. Satoh
  • H. Nakano
  • T. Watanabe
Case Report
  • 28 Downloads

Abstract

Multiple genitourinary, anorectal, and limb anomalies are described in association with the presence of intrauterine compression in a male newborn. Bilateral hydronephrosis, and imperforate anus with a rectourethral fistula, a posterior urethral valve, a left undescended testis, a bifid scrotum, a short prepuce, and flexible clubfeet were all noted in one of twin boys. Furthermore, a strikingly smal amniotic cavity was demonstrated at 7 weeks' gestation by ultrasonograms and pressure pits on the ankles were also seen after birth, features suggestive of intrauterine spatial compression. It is postulated that the early intrauterine compression inhibited the normal development of the fetus, causing the multiple anomalies. The conditions observed in this case are considered compatible with the concepts previously proposed by Stephens et al.

Key words

Intrauterine compression Genitourinary anomalies Clubfoot Anorectal anomalies 

References

  1. 1.
    Browne D (1934) Talipes equino varus. Lancet II: 969–974CrossRefGoogle Scholar
  2. 2.
    Cook WR, Stephens FD (1988) Pathoembryology of the urinary tract. In: King LR (ed) Urologic surgery in neonates and young infants. Saunders, Philadelphia, pp 1–23Google Scholar
  3. 3.
    Cowell HR, Wein BK (1980) Current concept review. Genetic aspects of club foot. J Bone Joint Surg [Am] 62: 1381–1384Google Scholar
  4. 4.
    George FW, Wilson JD (1992) Embryology of the genital tract. In: Walsh PC, Retik AB, Stamey TA, Vaughan ED (eds) Campbell's urology, 6th edn. Saunders, Philadelphia London Toronto Montreal Sydney Tokyo, pp 1496–1508Google Scholar
  5. 5.
    Hunter RH (1933) Notes on the development of the prepuce. J Anat 70: 68Google Scholar
  6. 6.
    Kenneth LJ (1988) Smith's recognizable patterns of human malformation, 4th edn. Saunders, Philadelphia London Toronto Montreal Sydney Tokyo, pp 572–573Google Scholar
  7. 7.
    Luthra M, Hutson JM, Stephens ED (1989) Effect of external inguinoscrotal compression on descent of the testis in rats. Pediatr Surg Int 4: 403–407Google Scholar
  8. 8.
    Patten BM (1968) The urogenital system. In: Human embryology, 3rd edn. McGraw-Hill, New York Toronto Sydney London, pp 449–499Google Scholar
  9. 9.
    Stephens FD (1988) Embryology of the cloaca and embryogenesis of anorectal malformations. In: Stephens FD, Smith ED (eds) Anorectal malformations in children. Year Book, Chicago IL, pp 177–209Google Scholar
  10. 10.
    Stephens FD (1963) Congenital malformations of the rectum, anus and genito-urinary tract. Livingstone, London, pp 209–245Google Scholar
  11. 11.
    Tachdjian MO (1972) The foot and leg. In: Pediatric orthopedics. Saunders, Philadelphia London Toronto, pp 1263–1531Google Scholar
  12. 12.
    Thomas IT, Smith DW (1974) Oligohydroamnios, cause of the nonrenal features of Potter's syndrome, including pulmonary hypoplasia. J Pediatr 84: 811–814PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • T. Shono
    • 1
  • S. Suita
    • 1
  • M. Kubota
    • 1
  • H. Ariga
    • 1
  • T. Taguchi
    • 1
    • 2
  • S. Satoh
    • 2
  • H. Nakano
    • 3
  • T. Watanabe
    • 4
  1. 1.Department of Pediatric Surgery Faculty of MedicineKyushu UniversityFukuokaJapan
  2. 2.Maternity and Perinatal Care Unit, Faculty of MedicineKyushu UniversityFukuokaJapan
  3. 3.Department of Gynecology and Obstetrics, Faculty of MedicineKyushu UniversityFukuokaJapan
  4. 4.Watanabe Gynecology and Obstetrics HospitalFukuokaJapan

Personalised recommendations