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2021, Number 2

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RCU 2021; 10 (2)

Bladder exstrophy and maternal-fetal ultrasound

Mendoza SLJ, Calviac MR, Guerra RM, Mendoza SKM

Language: Spanish
References: 12
Page: 1-9
PDF size: 336.60 Kb.


ABSTRACT

Introduction: Maternal-fetal ultrasound is one of the advances in radiological science and technique. It is considered a reliable tool in the diagnosis of bladder exstrophy.
Objective: Identify the diagnosis of bladder exstrophy by maternal-fetal ultrasound.
Method: A retrospective analysis is presented on 26 Cuban children diagnosed with bladder exstrophy treated in the Urology Service of "William Soler" Teaching Pediatric Hospital from January 1, 1996 to December 31, 2015.
Results: Of the 26 patients studied, 24 (92.4%) were not diagnosed with bladder exstrophy by maternal-fetal ultrasound. It was found in the physical examination at birth. Only two children (7.6%) had a positive prenatal diagnosis of bladder exstrophy.
Conclusions: It is necessary to focus attention on the thorough search for bladder exstrophy in the first 12 weeks of gestation when conducting studies, such as fetal maternal ultrasound, in order to rule out the presence of described ultrasound signs and the repeated absence of bladder filling suggesting a bladder disorder.


REFERENCES

  1. Donal I, Mac Vicar J, Brow TG. Investigation of abdominal masses by pulsed ultrasound. Lance. 1958 [acceso 11/05/2020];1(7032):1188-1195. Disponible en: https://pubmed.ncbi.nlm.nih.gov/13550965/

  2. Garmel SH, D´Alton ME. Diagnostic Ultrasound in pregnancy; an overview. Semi. Perinatal. 1994 [acceso 10/05/2020];18(3):117-132. Disponible en: https://pubmed.ncbi.nlm.nih.gov/7973782/

  3. Goncalves LF, Hill H, Bailey S. Prenatal and postnatal imaging techniques in the evaluation of disorders of sex development. Sem Ped Surg. 2019 [acceso 10/05/2020];28(5):150839. DOI: https://doi.org/10.1016/j.sempedsurg.2019.150839

  4. Yang QX, Xiao HY, Xin LC, Xiu QJ, Sheng Z Misdiagnosis of a cloacal exstrophy variant as urorectal septum malformation in a fetus by ultrasound: A case report. Exp & Therap Med. 2017 [acceso 11/05/2020];14(2):1665-8. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526091/

  5. Cervellione RM, Mantovani A, Gearhart J, Bogaert GC, Gobet R, Caione P, Dickson AP. Prospective study on the incidence of bladder/cloacal exstrophy and epispadias in Europe. J of Ped Urol. 2015;11(6):337.01-337.06. DOI: http://dx.doi.org/10.1016/j.jpurol.2015.03.023

  6. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA. Campbell-Walsh-Urology. 12va. ed. Madrid. Elsevier inc. 2020 [CD-ROM]; p. 538.

  7. Torres SU, Portela Oliveira E, Braojos Braga FC, Jr HW. When closure Fails: What the Radiologist Needs to Know About the Embryology, Anatomy, and Prenatal Imaging of Ventral Body Wall Defects. Sem in US, CT & MRI 2015;36(6):522-535. DOI:http://dx.doi.org/10.1053/j.sult.2015.01.001

  8. Toledo Martínez E, Leyva Calafell M, Barroso Sánchez G, León Ramos, Boffil Falcón A, Noalla Parets DL. Complejo extrofia vesical-epispadias. Reporte de un caso. Rev Med Electrón. 2018 [acceso 11/05/2020];40(3):1684-824. Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242018000300022

  9. Mercado J, Márquez R, Bachaman M, Soto A, González P. Extrofia vesical. Diagnóstico prenatal. Revista Chilena de Ultrasonografía. 2014 [acceso 11/05/2020];17(1):8. Disponible en: http://www.sochumb.cl/wp-content/uploads/2014/11/US-17-1-2014.pdf

  10. Rodríguez K, Vélez S. Extrofia vesical en un neonato y su relación otras manifestaciones congénitas. Revista Médica De Honduras. 2012 [acceso 10/05/2020];80(4). Disponible en:http://www.bvs.hn/RMH/pdf/2012/pdf/Vol80-4-2012-8.pdf

  11. Gómez Méndez G, Rodrigo Beal J. Imagen in Medicine. Bladder Exstrophy. Revista Asociación Médica Brasil. 2016 [acceso 11/05/2020];62(3):197-198. Disponible en:https://www.scielo.br/pdf/ramb/v62n3/0104-4230-ramb-62-3-0197.pdf

  12. Silva González GK, Reyes Reyes E, Ochoa Hidalgo A y Hernández Almaguer B. Resultado del diagnóstico prenatal de malformaciones renales y de vías urinaria por ultrasonografía. Revista Electrónica “Dr. Zoilo E. Marinello Vidaurreta”. 2017 [acceso 11/05/2020];42(2). ISSN:1029-3027/RNPS:1824. Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/1040/pdf_387




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