Department of Ultrasound, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Department of Pediatric Surgery, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Med Ultrason. 2020 May 11;22(2):250-252. doi: 10.11152/mu-2039. Epub 2019 Aug 15.
Persistent cloaca (PC) is the most intricate anorectal malformation. Contrast-enhanced ultrasound (CEUS) is safe for hepatic, renal, splenic, vascular, and intracavitary assessment in children, but it is little applied for cloacal malformation. Our results demonstrate that CEUS can not only display the uterine, vagina, bladder, urethra, rectum, and rectovaginal fistula, but also measure the length of the common channel, bladder neck to the common channel, and distal urethra to the perineum. To our knowledge this may be the first report of preoperative evaluation by CEUS in an infant with PC.
持续性肛膜闭锁（PC）是最复杂的肛门直肠畸形。对比增强超声（CEUS）在儿童肝脏、肾脏、脾脏、血管和腔内评估方面是安全的，但在肛门直肠畸形方面应用较少。我们的结果表明，CEUS 不仅可以显示子宫、阴道、膀胱、尿道、直肠和直肠阴道瘘，还可以测量共同通道的长度、膀胱颈部至共同通道以及远端尿道至会阴部。据我们所知，这可能是首例应用 CEUS 对 PC 婴儿进行术前评估的报道。
