Talk:Embryology History - Fabiola Müller
Cloaca in discordant monoamniotic twins: prenatal diagnosis and consequence for fetal lung development
AJP Rep. 2014 May;4(1):33-6. doi: 10.1055/s-0034-1370351. Epub 2014 Mar 3.
Chitrit Y1, Vuillard E1, Khung S2, Belarbi N3, Guimiot F2, Muller F4, Ghoneimi AE5, Oury JF1.
Abstract
Objective Describe a case of cloaca prenatally diagnosed in one of a set of monoamniotic twins. Study Design Retrospective review of a case. Results Cloaca is one of the most complex and severe degrees of anorectal malformations in girls. We present a discordant cloaca in monoamniotic twins. Fetal ultrasound showed a female fetus with a pelvic midline cystic mass, a phallus-like structure, a probable anorectal atresia with absence of anal dimple and a flat perineum, and renal anomalies. The diagnosis was confirmed by fetal magnetic resonance imaging postnatally. Conclusions The rarity of the malformation in a monoamniotic pregnancy, the difficulties of prenatal diagnosis, the pathogenic assumptions, and the consequences of adequate amniotic fluid for fetal lung development are discussed. KEYWORDS: discordant; fetal lung development; monoamniotic twins; persistent cloaca; prenatal diagnosis
PMID 25032057
