Fetal lower urinary tract obstruction is a rare condition commonly associatedwith significant perinatalmorbidity andmortality,particularly when detected in the second trimester.The concurrent presentation of a recto-u...Fetal lower urinary tract obstruction is a rare condition commonly associatedwith significant perinatalmorbidity andmortality,particularly when detected in the second trimester.The concurrent presentation of a recto-urethral fistula with membranous urethral atresia and sacrococcygeal teratoma has not been reported.We describe a case of extrinsic fetal lower urinary tract obstruction related to a recto-urethral fistula,diagnosed at 33 weeks gestation and managed by serial vesicocentesis until 38 weeks.This case,notable for its absence of hypoplasia despite late diagnosis,resulted in a term delivery of a male infant.After delivery,pediatric surgeons performed an abdominal perineal resection of the tumor.Fetal vesicocentesis remains a viable management option for patients without access to intrauterine surgical interventions.展开更多
文摘Fetal lower urinary tract obstruction is a rare condition commonly associatedwith significant perinatalmorbidity andmortality,particularly when detected in the second trimester.The concurrent presentation of a recto-urethral fistula with membranous urethral atresia and sacrococcygeal teratoma has not been reported.We describe a case of extrinsic fetal lower urinary tract obstruction related to a recto-urethral fistula,diagnosed at 33 weeks gestation and managed by serial vesicocentesis until 38 weeks.This case,notable for its absence of hypoplasia despite late diagnosis,resulted in a term delivery of a male infant.After delivery,pediatric surgeons performed an abdominal perineal resection of the tumor.Fetal vesicocentesis remains a viable management option for patients without access to intrauterine surgical interventions.
