title: Ascites, hydrocolpos, hydrometrocolpos with normal amniotic fluid in a fetus with partial urorectal septum malformation sequence.
abstract: Urorectal septum malformation sequence (URSMS) describes a range of anatomic anomalies in the urogenital and lower gastrointestinal organs caused by incomplete urorectal membrane septation and persistence of the cloacal membrane. Partial URSMS is a milder version characterized by a single perineal opening. We report a case of partial URSMS that associated an intact Mullerian system, single perineal opening, blind colon, imperforate anus and vagina, urethrovaginal connection, and ambiguous genitalia. Hydrocolpos, hydrometrocolpos, and ascites were seen in utero and confirmed on postnatal surgery. This case describes the changes in sonographic findings that evolved throughout the gestation.
authors.affiliation: Department of Obstetrics and Gynecology, Winnie Palmer Hospital, Orlando Regional Healthcare, Orlando Regional Healthcare, Orlando, FL.
authors.forename: Shawn
authors.initials: S
authors.lastname: Lee
authors.forename: S J
authors.initials: SJ
authors.lastname: Carlan
authors.forename: Greg
authors.initials: G
authors.lastname: Locksmith
authors.forename: Jose
authors.initials: J
authors.lastname: Perez
mesh_terms: D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging*; D000328:Adult; D000653:Amniotic Fluid; D001006:Anus, Imperforate / Q000000981:diagnostic imaging*; D001201:Ascites / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D052202:Hydrocolpos / Q000000981:diagnostic imaging*; D007231:Infant, Newborn; D011247:Pregnancy; D016216:Ultrasonography, Prenatal; D014521:Urethra / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014621:Vagina / Q000002:abnormalities* / Q000000981:diagnostic imaging
keywords: ascites; congenital malformations; hydrocolpos; obstetrics; partial urorectal septum malformation; ultrasonography