Fetal Urinary Obstruction and Intervention for Sacrococcygeal Teratoma:A Case Report From Kenya  

作　　者：Maryanne Muthoni Mwangi Sikolia Wanyonyi Stanley Mugambi 

机构地区：[1]Department of Obstetrics and Gynaecology,Aga Khan University,Nairobi 30270-00100,Kenya [2]Department of pediatric Surgery,Aga Khan University,Nairobi 30270-00100,Kenya

出　　处：《Maternal-Fetal Medicine》2024年第3期196-200,共5页母胎医学杂志（英文）

摘　　要：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.

关 键 词：Lower urinary tract symptom Fetal lower urinary tract obstruction Vesicocentesis Sacrococcygeal teratoma Rectourinary fistula 

分 类 号：R714.5[医药卫生—妇产科学]