Maeda Hajime, Go Hayato, Sakuma Jun, Imamura Takashi, Sato Maki, Momoi Nobuo, Hosoya Mitsuaki
Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, Fukushima, Japan.
Department of Neurosurgery, Fukushima Medical University School of Medicine, Fukushima, Fukushima, Japan.
AJP Rep. 2018 Jan;8(1):e1-e3. doi: 10.1055/s-0037-1615818. Epub 2018 Jan 9.
Congenital anomalies of the spine may occur with malformations of the central nervous, cardiovascular, gastrointestinal, respiratory, and genitourinary systems. This is a case of myelomeningocele with unilateral right renal agenesis in a newborn. The patient suffered complications of cerebrospinal fluid leak and meningitis, but was successfully treated and discharged on day 86. In this case, unilateral right renal agenesis represented a significant surgical risk because failure of the remaining kidney could result in renal failure. Because congenital anomalies of the spine may be associated with malformations of the genitourinary system, and additional surgeries were necessary in our case following birth, it is very important that the presence of genitourinary malformations be evaluated.
脊柱先天性异常可能与中枢神经、心血管、胃肠道、呼吸及泌尿生殖系统的畸形同时出现。本文报告一名新生儿患有脊髓脊膜膨出并伴有右侧单侧肾缺如的病例。该患者出现了脑脊液漏和脑膜炎并发症，但在第86天成功接受治疗并出院。在本病例中，右侧单侧肾缺如构成了重大手术风险，因为剩余肾脏功能衰竭可能导致肾衰竭。由于脊柱先天性异常可能与泌尿生殖系统畸形相关，且在我们的病例中出生后还需要进行额外手术，因此评估泌尿生殖系统畸形的存在非常重要。
