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01-12-2023 | Ascites | Original Article

Fetal ascites in cloacal malformations—a red flag

Authors: Sherif Abdelmaksoud, Sara Lobo, Alexander Cho, Anand Upasani, Simon Blackburn, Joe Curry, Brian Davies, Ruppert Martin, Gunter De Win, Abraham Cherian

Published in: Pediatric Surgery International | Issue 1/2023

Abstract

Introduction

Cloacal malformation is a rare anomaly that remains a diagnostic challenge prenatally, despite the current advances in ultrasonography and MRI. This condition can in some, present with isolated ascites or with other findings, such as a pelvic cyst or upper urinary tract dilatation. In a minority, the ascites may be progressive, questioning the role of antenatal intervention.

Methods

We report on ten patients that have been identified from our Cloaca database between 2010 and 2022.

Results

The presence of ascites was associated with extensive bowel adhesions and matting, leading to a challenging initial laparotomy and peri-operative course.

Conclusions

Antenatal finding of ascites in newborns with cloacal malformations should raise a red flag. The surgeon and anaesthetist should be prepared for the operative difficulties secondary to bowel adhesions and the higher risk of haemodynamic instability at the initial surgery. An experienced team at initial laparotomy in such patients is vital.

Level of evidence: II.

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Title: Fetal ascites in cloacal malformations—a red flag
Authors: Sherif Abdelmaksoud
Sara Lobo
Alexander Cho
Anand Upasani
Simon Blackburn
Joe Curry
Brian Davies
Ruppert Martin
Gunter De Win
Abraham Cherian
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Ascites
Colostomy
Enterostomy
Enterostomy
Laparotomy
Laparotomy
Posterior Sagittal Anorectoplasty
Ileostomy
Published in: Pediatric Surgery International / Issue 1/2023
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-023-05564-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Fetal ascites in cloacal malformations—a red flag

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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