Persistent urogenital sinus

Ha To Nguyen

Director of Imaging Diagnosis Department, Maternity, Tudu Hospital, 284 Cong Quynh St Dist 1, Hochimin City, Vietnam.

 

Case report

The following images show a case of 28-year-old woman (G1P0) who was seen in our office at 28 weeks of her pregnancy. Our examination revealed dilated abdomen of the fetus with ascites and abnormal uterocervical complex. Initially we thought about double urinary bladder with urethral obstruction, but after thorough reevaluation of the case our presumed diagnosis is persistent urogenital sinus. The pregnancy was terminated and ambiguous genital of the fetus was found.

As the autopsy was not performed, we just presume the diagnosis of the persistent urogenital sinus (a similar case was published at the fetus.net website as the case of the week number 114).

Images 1, 2, 3, 4: Enlarged uterocervical complex with dilated urinary bladder.

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Images 5, 6, 7: Normal kidneys and ascites (actually urine) within the abdominal cavity.

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Images 8, 9, 10, 11: MRI images showing enlarged uterocervical complex with dilated urinary bladder and ascites (urine) within the abdominal cavity.

MRI-1
MRI-2


MRI-3
MRI-4

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