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Dichorionic diamniotic twin pregnancy discordant for bladder exstrophy.

Tu W, Chueh J, Kennedy W - Adv Urol (2009)

Bottom Line: A 38 year-old woman presented with a dichorionic diamniotic twin pregnancy at gestational age of 32 weeks concerning for an abdominal wall mass in one of the twins.Initial ultrasound evaluation was suspicious for an omphalocele, but the affected twin was found to have bladder exstrophy at birth.This illustrates the difficulties of accurate prenatal diagnosis of bladder exstrophy in a twin pregnancy at a late gestation.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Stanford University, 300 Pasteur Drive, Stanford, CA 94305, USA. wtu1@stanford.edu

ABSTRACT
A 38 year-old woman presented with a dichorionic diamniotic twin pregnancy at gestational age of 32 weeks concerning for an abdominal wall mass in one of the twins. Initial ultrasound evaluation was suspicious for an omphalocele, but the affected twin was found to have bladder exstrophy at birth. This illustrates the difficulties of accurate prenatal diagnosis of bladder exstrophy in a twin pregnancy at a late gestation.

No MeSH data available.


Related in: MedlinePlus

Closeup of bladder plate indicating location of ureteral orifices (solid arrows) and phallus with epispadias (dashed arrow).
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Related In: Results  -  Collection


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fig2: Closeup of bladder plate indicating location of ureteral orifices (solid arrows) and phallus with epispadias (dashed arrow).

Mentions: The patient was referred to pediatric surgery for counseling on abdominal wall defects, specifically omphalocele and gastroschisis. At 35 6/7 weeks, the patient underwent cesarean section delivery. Examination of newborn B showed a low set umbilicus, pubic bone diastasis, and epispadias. The anterior abdominal wall mass was infraumbilical with a large, everted mucosalized surface and identifiable ureteral orificies consistent with bladder exstrophy (Figure 2).


Dichorionic diamniotic twin pregnancy discordant for bladder exstrophy.

Tu W, Chueh J, Kennedy W - Adv Urol (2009)

Closeup of bladder plate indicating location of ureteral orifices (solid arrows) and phallus with epispadias (dashed arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2742653&req=5

fig2: Closeup of bladder plate indicating location of ureteral orifices (solid arrows) and phallus with epispadias (dashed arrow).
Mentions: The patient was referred to pediatric surgery for counseling on abdominal wall defects, specifically omphalocele and gastroschisis. At 35 6/7 weeks, the patient underwent cesarean section delivery. Examination of newborn B showed a low set umbilicus, pubic bone diastasis, and epispadias. The anterior abdominal wall mass was infraumbilical with a large, everted mucosalized surface and identifiable ureteral orificies consistent with bladder exstrophy (Figure 2).

Bottom Line: A 38 year-old woman presented with a dichorionic diamniotic twin pregnancy at gestational age of 32 weeks concerning for an abdominal wall mass in one of the twins.Initial ultrasound evaluation was suspicious for an omphalocele, but the affected twin was found to have bladder exstrophy at birth.This illustrates the difficulties of accurate prenatal diagnosis of bladder exstrophy in a twin pregnancy at a late gestation.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Stanford University, 300 Pasteur Drive, Stanford, CA 94305, USA. wtu1@stanford.edu

ABSTRACT
A 38 year-old woman presented with a dichorionic diamniotic twin pregnancy at gestational age of 32 weeks concerning for an abdominal wall mass in one of the twins. Initial ultrasound evaluation was suspicious for an omphalocele, but the affected twin was found to have bladder exstrophy at birth. This illustrates the difficulties of accurate prenatal diagnosis of bladder exstrophy in a twin pregnancy at a late gestation.

No MeSH data available.


Related in: MedlinePlus