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伴有阴蒂阴唇转位及直肠会阴瘘的后泄殖腔变异型

Posterior Cloacal Variant with Clitorolabial Transposition and a Rectoperineal Fistula.

作者信息

Maistry Niveshni, Brisighelli Giulia, Westgarth-Taylor Chris

机构信息

Department of Paediatric Surgery, Chris Hani Baragwanath Hospital, Diepkloof, Soweto, Gauteng, South Africa.

出版信息

European J Pediatr Surg Rep. 2021 Jan;9(1):e46-e49. doi: 10.1055/s-0041-1728724. Epub 2021 May 18.

DOI:10.1055/s-0041-1728724
PMID:34026420
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8131129/
Abstract

We present a case and discuss the management of a posterior cloacal variant not as yet described in the literature. A 5-week-old infant presented to our institution with a posterior cloacal variant and transposition of the clitoris and labia. After initial radiological investigations, staged operative intervention was performed over a 1-year period. This included an initial laparotomy (with drainage of hydrocolpos and formation of a colostomy), a left ureteric reimplantation and a posterior sagittal anorectoplasty due to a rectoperineal fistula. The child is under continued long-term follow-up by our specialist pediatric surgical team.

摘要

我们报告一例病例，并讨论一种文献中尚未描述的后泄殖腔变异的处理方法。一名5周大的婴儿因后泄殖腔变异及阴蒂和阴唇转位前来我院就诊。经过初步的影像学检查后，在1年的时间里分阶段进行了手术干预。这包括初次剖腹手术（引流阴道积水并形成结肠造口术）、左侧输尿管再植术以及因直肠会阴瘘而进行的后矢状位肛门直肠成形术。该患儿由我们的儿科专科手术团队进行持续的长期随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d790/8131129/b70f1b54aeae/10-1055-s-0041-1728724-i200573cr-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d790/8131129/666621025d79/10-1055-s-0041-1728724-i200573cr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d790/8131129/3800b351b68a/10-1055-s-0041-1728724-i200573cr-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d790/8131129/b33fd6731e19/10-1055-s-0041-1728724-i200573cr-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d790/8131129/b70f1b54aeae/10-1055-s-0041-1728724-i200573cr-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d790/8131129/666621025d79/10-1055-s-0041-1728724-i200573cr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d790/8131129/3800b351b68a/10-1055-s-0041-1728724-i200573cr-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d790/8131129/b33fd6731e19/10-1055-s-0041-1728724-i200573cr-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d790/8131129/b70f1b54aeae/10-1055-s-0041-1728724-i200573cr-4.jpg

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本文引用的文献

1
A unique defect - persistent posterior cloaca: An example of staged genito-urinary and digestive tract reconstruction with an alternative vaginal creation using the urinary bladder wall.
Int J Urol. 2017 Jun;24(6):468-471. doi: 10.1111/iju.13332. Epub 2017 May 6.
2
Reverse (posterior) cloaca with congenital rectal stenosis and pseudohermaphrodism: a rare entity with rare association.伴有先天性直肠狭窄和假性两性畸形的反向（后位）泄殖腔：一种罕见的实体，伴有罕见的关联。
BMJ Case Rep. 2010 Nov 26;2010:bcr0620103071. doi: 10.1136/bcr.06.2010.3071.
3
Posterior cloaca--further experience and guidelines for the treatment of an unusual anorectal malformation.后肛——一种不常见的肛门直肠畸形的治疗经验及指南。
J Pediatr Surg. 2010 Jun;45(6):1234-40. doi: 10.1016/j.jpedsurg.2010.02.095.
4
Posterior cloaca: a unique defect.后泄殖腔：一种独特的缺陷。
J Pediatr Surg. 1998 Mar;33(3):407-12. doi: 10.1016/s0022-3468(98)90079-3.