Cloacal exstrophy: radiologic findings in 13 patients.

Meglin, Allen; Balotin, R J; Jelinek, James S.; Fishman, E K; Jeffs, Robert D.; Ghaed, Victor N.

doi:10.2214/ajr.155.6.2122678

Cited by 42 publications

(32 citation statements)

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“…Finally, the present results identified two testicles located laterally in the pelvic cavity via autopsy examination, which is the most common anomaly of male sexual development (19). Furthermore, Meglin et al (20) reported that 5/7 males with cloacal exstrophy were identified to exhibit cryptorchidism.…”

Section: Discussionsupporting

confidence: 58%

Misdiagnosis of a cloacal exstrophy variant as urorectal septum malformation in a fetus by ultrasound: A case report

Yang

Chen

et al. 2017

Experimental and Therapeutic Medicine

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Abstract. Cloacal exstrophy variants are comprised of a wide range of characteristics, of which there are four primary features, including omphalocele, bladder exstrophy, an imperforate anus and spina bifida. The existing literature regarding the differential diagnosis from alternative urinary diseases prenatally are limited. If the bladder is present, defects in the ventral wall may not be visualized with prenatal ultrasound in certain conditions, including oligohydramnios, and differential diagnosis from urorectal septum malformation sequence is a challenge. In order to improve the diagnosis of cloacal exstrophy variants, the present study investigated the misdiagnosis of a cloacal exstrophy variant as a urorectal septum malformation in a fetus by ultrasound and analyzed the reasoning of diagnosis in detail.

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Section: Discussionsupporting

confidence: 58%

Misdiagnosis of a cloacal exstrophy variant as urorectal septum malformation in a fetus by ultrasound: A case report

Yang

Chen

et al. 2017

Experimental and Therapeutic Medicine

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“…To determine the accuracy of this statement, we reviewed the literature on exstrophy of the cloaca for lower limb defects. Of 178 reviewed cases, including the one we presented here, 63 reportedly had normal lower limbs [Hurwitz et al, 1987;Meglin et al, 1990;Evans et al, 1994;Chen et al, 1997;Liang et al, 1998;Mathews et al, 1998;Hamada et al, 1999;Keppler-Noreuil, 2001;Reddy et al, 2003], 43 gave no information about the status of the lower limbs [Hayden et al, 1973;Diamond and Jeffs, 1985;Fujiyoshi et al, 1987;McLaughlin et al, 1995;Meizner et al, 1995;Pinette et al, 1996;Kano and Ichimura, 1997;Austin et al, 1998;Nye et al, 2000], 17 had clubfeet with no further status of the lower limb given [Diamond and Jeffs, 1985;Zarabi and Rupani, 1986;Fujiyoshi et al, 1987;McLaughlin et al, 1995;Robin et al, 1996;Bruch et al, 1996;Pinette et al, 1996;Girz et al, 1998;Silver et al, 1999], 24 had clubfeet as the only lower limb anomaly [Hurwitz et al, 1987;Meglin et al, 1990;Chen et al, 1997;Liang et al, 1998;Mathews et al, 1998;Keppler-Noreuil, 2001], and 31 had major malformations of the lower limbs [Ogden, 1976;Balog and Skinner, 1984;Hurwitz et al, 1987;Meglin et al, 1990;…”

Section: Discussionmentioning

confidence: 94%

“…One of these patients had transverse defects. Meglin et al [1990] and Keppler-Noreuil [2001] each reported a single case of a hypoplastic/dysplastic lower extremity. Hurwitz et al [1987] reported four cases.…”

Section: Discussionmentioning

confidence: 99%

Severe lower limb defects in exstrophy of the cloaca

Jain

Weaver

2004

American J of Med Genetics Pt A

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We present here a patient with exstrophy of the cloaca associated with severe lower limb defects. The limb malformations include, on the right, a split foot with distal separation of the tibia and fibula, and on the left, attachment of the lower half of the left leg with a two-toed foot at nearly a right angle to the mid left thigh. A review of the literature indicates that 17-26% of patients with cloacal exstrophy also have lower limb defects. We hypothesize that cloacal exstrophy and associated lower limb defects have a related pathogenesis and that both are related to deficiencies of caudal mesoderm or mesodermal differentiation signals. More cases of exstrophy of the cloaca with limb defects need to be reported to better characterize the limb anomalies and to more precisely determine their frequency.

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“…In addition to the four classic defects, several anomalies (e.g., genital abnormalities, renal malformations, symphysis pubis diastasis, limb abnormalities) may be encountered in OEIS patients [6].…”

Section: The Findings Of This Congenital Anomalymentioning

confidence: 99%

Omphalocele, exstrophy of cloaca, imperforate anus and spinal defect (OEIS Complex): A case report

Kaya¹,

Sancar²,

Ozcakir³

et al. 2015

PUCR

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Omphalocele, exstrophy of cloaca, imperforate anus and spinal defect (OEIS Complex) is an extremely rare combination of serious defects, which was firstly described by Carey and colleagues. Surgical repair of cloacal exctrophy in patients with OEIS complex can be performed at one stage, but it can also be performed safely as staged to minimize the potential complications. In this case report, we aimed to present our early approach to the OEIS complex.

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Cloacal exstrophy: radiologic findings in 13 patients.

Cited by 42 publications

References 1 publication

Misdiagnosis of a cloacal exstrophy variant as urorectal septum malformation in a fetus by ultrasound: A case report

Misdiagnosis of a cloacal exstrophy variant as urorectal septum malformation in a fetus by ultrasound: A case report

Severe lower limb defects in exstrophy of the cloaca

Omphalocele, exstrophy of cloaca, imperforate anus and spinal defect (OEIS Complex): A case report

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