Abstract
Extraluminal calcified meconium is found frequently by prenatal ultrasound in cases
with bowel perforation and meconium peritonitis. Intraluminal intestinal meconium
calcifications are rarely seen in prenatal sonography. Meconium calcifications result
from a mixture of meconium and urine that indicates a connection between intestinal
and urinary tract.
We report a case of a male newborn prenatally diagnosed with intraluminal echogenic
calcifications at 23 weeks of gestation, suggesting an anorectal malformation (ARM)
with rectourinary fistula. At birth, the child presented with a complex ARM including
high anal atresia with both perineal and rectourethral fistula. Furthermore, a bladder
outlet obstruction due to a urethral stenosis was diagnosed. Vesicostomy was performed
as an emergency procedure followed by colostomy during neonatal period. Posterior
sagittal anorectoplasty was performed at the age of 4 months.
Prenatal echogenic calcifications within bowel should raise the suspicion of ARM with
rectourinary fistula and bladder outlet obstruction.
Key words
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References
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Article info
Publication history
Accepted:
November 17,
2007
Received in revised form:
November 13,
2007
Received:
September 28,
2007
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
