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Lower Urinary Tract Anomalies of Urogenital Sinus and Female Genital Anomalies

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Pediatric Uroradiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Congenital anomalies of the female genital tract result from müllerian duct anomalies and/or abnormalities of the urogenital sinus or cloaca. Failure of fusion of the müllerian ducts results in a wide variety of fusion abnormalities of the uterus, cervix, and vagina (Gruenwald 1941). Müllerian duct abnormalities may occur alone or in association with urogenital sinus or cloacal malformations. Persistence of the cloaca is believed to be caused by an abnormal development of the dorsal part of the cloaca and the urorectal septum (Stephens 1983b; Nievelstein et al. 1998). Urogenital sinus malformations occur after the cloaca has been organized into the urogenital sinus and the anus (Williams and Bloomberg 1976). Early and complete assessment of the patients, including radiological and biochemical examinations, is mandatory to provide an optimal basis for treatment that will have a great influence on the quality of the patient’s later life. Due to the close embryologic relationship between the urinary and the genital tract, malformations involving both organ systems are very common. Understanding the development of the urogenital system is necessary to comprehend the full spectrum of congenital anomalies of the female genitalia.

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References

  • Aaronson IA (1992) Sexual differentiation and intersexuality. In: Kelalis, King, Belman (eds) Clinical pediatric urology, 3rd edn. Saunders, Philadelphia, pp 977–1014

    Google Scholar 

  • Aslam A, Wong C, Haworth JM, Nobelett HR (1995) Autoamputation of ovarian cyst in infant. J Pediatr Surg 30: 1609–1610

    Article  PubMed  CAS  Google Scholar 

  • Balk SJ, Dreyfus NG, Harris P (1982) Examination of genitalia in children: the remaining taboo. Pediatrics 70: 751–753

    PubMed  CAS  Google Scholar 

  • Barkovich AJ (1999) Pediatric neuroimaging, 3rd edn. Lippin-cott Williams & Wilkins, Philadelphia, pp 648–653

    Google Scholar 

  • Blask AR, Sanders RC, Gearhart JP (1991a) Obstructed uterovaginal anomalies: demonstration with sonography. I. Neonates and infants. Radiology 179: 79–83

    PubMed  CAS  Google Scholar 

  • Blask AR, Sanders RC, Rock JA (1991b) Obstructed uterovaginal anomalies: demonstration with sonography. II. Teenagers. Radiology 179: 84–88

    PubMed  CAS  Google Scholar 

  • Brant ML, Luks FI, Filiatrault D, Garel L, Desjardins JG, Youssef S (1991) Surgical indications in antenatally diagnosed ovarian cysts. J Pediatr Surg 26: 276–282

    Article  Google Scholar 

  • Buttram VC, Gibbons WE (1979) Müllerian anomalies: a proposed classification (an analysis of 144 cases). Fertil Steril 32: 40–46

    PubMed  Google Scholar 

  • Ceballos R, Hicks GM (1979) Plastic peritonitis due to neonatal hydrometrocolpos: radiologic and pathologic observations. J Pediatr Surg 5: 63–70

    Article  Google Scholar 

  • Chan-Cua S, Freidenberg G, Jones KL (1989) Occurrence of male phenotype in genotypic females with congenital virilizing adrenal hyperplasia. Am J Med Genet 34: 406–410

    Article  PubMed  CAS  Google Scholar 

  • Currarino G (1982) Single vaginal ectopic ureter and Gartner’s duct cyst with ipsilateral renal hypoplasia and dysplasia (or agenesis) J Urol 128: 988–993

    PubMed  CAS  Google Scholar 

  • Currarino G (1986) Large prostatic utricles and related structures, urogenital sinus and other forms of urethrovaginal confluence. J Urol 136: 1270–1279

    PubMed  CAS  Google Scholar 

  • Fielding JR (1996) MR imaging of Miillerian anomalies: impact on therapy. AJR 167: 1491–1495

    PubMed  CAS  Google Scholar 

  • Gharagozloo AM, Lebowitz RL (1994) Detection of poorly functioning malpositioned kidney with single ectopic ureter in girls with urinary dribbling. AJR 164: 957–961

    Google Scholar 

  • Gilsanz V, Cleveland RH (1982) Duplication of the Müllerian ducts and genitourinary malformations. Part I: the value of excretory urography. Radiology 144: 793–796

    PubMed  CAS  Google Scholar 

  • Gilsanz V, Cleveland RH, Reid BS (1982) Duplication of the Miillerian ducts and genitourinary malformations. Part II: analysis of malformations. Radiology 144: 797–801

    PubMed  CAS  Google Scholar 

  • Godfrey H, Abernethy L, Boothroyd A (1998) Torsion of an ovarian cyst mimicking enteric duplication cyst on transabdominal ultrasound: two cases. Pediatr Radiol 28: 171–173

    Article  PubMed  CAS  Google Scholar 

  • Gruenwald P (1941) The relation of the growing Müllerian ducts to the Wolffian duct and its importance for the genesis of malformations. The Anatomical Record 81: 1–19

    Article  Google Scholar 

  • Hartwig NG (1992) Pathoembryology: developmental processes and congenital malformations. Thesis, State University Leiden, The Netherlands

    Google Scholar 

  • Hassink EAM, Rieu PNMA, Hamel BCJ, Severijnen RSVM, vd Staak FHJ, Festen C (1996) Additional congenital defects in anorectal malformations. Eur J Pediatr 155: 477–482

    Article  PubMed  CAS  Google Scholar 

  • Hendren H (1998) Cloaca, the most severe degree of imperforate anus. Ann Surg 228: 331–346

    Article  PubMed  CAS  Google Scholar 

  • Jaramillo D, Lebowitz RL, Hendren WH (1990) The cloacal malformation: radiologic findings and imaging recommendation. Radiology 177: 441–448

    PubMed  CAS  Google Scholar 

  • Jarcho J (1946) Malformation of the uterus: review of the subject, including embryology, comparative anatomy, diagnosis and report of cases. Am J Surg 71: 106–166

    Article  PubMed  CAS  Google Scholar 

  • Karrer FM, Flannery AM, Nelson MD, McLone DG, Raffensperger JG (1988) Anorectal malformations: evaluation of associated spinal dysraphic syndromes. J Pediatr Surg 3: 45–48

    Article  Google Scholar 

  • Kluth D, Hillen M, Lambrecht W (1995) The principles of normal and abnormal hindgut development. J Pediatr Surg 30: 1143–1147

    Article  PubMed  CAS  Google Scholar 

  • Knight HML, Phillips NJ, Mouriquand PDE (1995) Female hypospadias: a case report. J Pediatr Surg 30: 1738–1740

    Article  PubMed  CAS  Google Scholar 

  • Lindsay AN, Voorhess ML, MacGillivary MH (1983) Multicystic ovaries in primary hypothyroidism. Obstet Gynecol 61: 433–437

    PubMed  CAS  Google Scholar 

  • MacGillivary MH, Morishimo A, Conte F, Grumbach M, Smith EP (1998) Pediatric endocrinology update: an overview. The essential roles of estrogens in pubertal growth, epiphyseal fusion and bone turnover: lessons from mutations in the gene for aromatase and the estrogen receptor. Horm Res 49: 2–8

    Article  Google Scholar 

  • Marshall FF, Jeffs RD, Sarafyan WK (1979) Urogenital sinus abnormalities in the female patient. J Urol 122: 568–572.

    PubMed  CAS  Google Scholar 

  • McLorie GA, Sheldon CA, Fleisher M, Churchill BM (1987) The genitourinary system in patients with imperforate anus. J Pediatr Surg 22: 1100–1104

    Article  PubMed  CAS  Google Scholar 

  • Merguerian PA, McLorie GA (1992) Disorders of the female genitalia In: Kelalis, King, Belman (eds) Clinical pediatric urology, 3rd edn. Saunders, Philadelphia, pp 1084–1105

    Google Scholar 

  • Metts JC, Kotkin L, Kasper S, Shyr Y, Adams MC, Brock JW (1997) Genital malformations and coexistent urinary tract or spinal anomalies in patients with imperforate anus. J Urol 158: 1298–1300

    Article  PubMed  Google Scholar 

  • Moor KL (1990) Embryologie: Lehrbuch und Atlas der Entwicklungsgeschichte des Menschen, 3rd edn. Schattauer, Stuttgart

    Google Scholar 

  • Müller-Leisse C, Bick U, Paulussen K, Tröger J, Zachariou Z, Holzgreve W, Schumacher R, Horovitz A (1992) Ovarian cysts in the neonate-changes in sonographic pattern in the follow-up and their management. Pediatr Radiol 22: 395–400

    Article  PubMed  Google Scholar 

  • Nidecker AC, Humphry A (1978) Peritoneal calcification in a neonate with imperforate hymen. J Can Assoc Radiol 29: 277–279

    PubMed  CAS  Google Scholar 

  • Nievelstein RAJ, Van der Werff JFA, Verbeek FJ, Valk J, Vermeij-Keers C (1998) Normal and abnormal embryonic development of the anorectum in human embryos. Teratology 57: 70–78

    Article  PubMed  CAS  Google Scholar 

  • Pellerito JS, McCarthy SM, Doyle MB, Glickman MG, DeCher-ney AH (1992) Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal sonography, and hysterosalpingography. Radiology 183: 795–800

    PubMed  CAS  Google Scholar 

  • Pena A, Kessler O (1998) Posterior cloaca: a unique defect. J Pediatr Surg 33: 407–412

    Article  PubMed  CAS  Google Scholar 

  • Rathke H (1882) Abhandlung zur Bildungsgeschichte der Tiere. Leipzig

    Google Scholar 

  • Retterer E (1890) Sur l’origine et l’évolution de la région anogénitale des mammifères. J Anat Physiol 26: 126–216

    Google Scholar 

  • Rich MA, Brock WA, Pena A (1988) Spectrum of genitourinary malformations in patients with imperforate anus. Pediatr Surg Int 3: 110–113

    Article  Google Scholar 

  • Rieth KG, Comité F, Shawker TH, Cutler GB (1981) Pituitary and ovarian abnormalities demonstrated by CT and ultrasound in children with features of McCune-Albright syndrome. Radiology 153: 389–393

    Google Scholar 

  • Rosenberg HK, Sherman NH, Tarry WF, Duckett JW, McCrum Snyder H (1986) Mayer-Rokitansky-Kuster-Hauser syndrome: US aid to diagnosis. Radiology 161: 815–819

    PubMed  CAS  Google Scholar 

  • Rosenblatt M, Rosenblatt R, Kutcher R, Coupey SM, Kleinhaus S (1991) Utero-vaginal hypoplasia. Pediatr Radiol 21: 536–537

    Article  PubMed  CAS  Google Scholar 

  • Rosenfeld DL, Lis E (1993) Gartner’s duct cyst with single vaginal ectopic ureter and associated renal dysplasia or agnesis. J Ultrasound Med 12: 775–778

    PubMed  CAS  Google Scholar 

  • Shozu M, Akasofu K, Harda T, Kubota Y (1991) A new cause of female pseudohermaphrodism: placental aromatase deficiency. J Clin Endocrinol Metab 72: 560–566

    Article  PubMed  CAS  Google Scholar 

  • Siegel MJ (1995) Pediatric sonography, 2nd edn. Raven Press, New York, pp 441–442

    Google Scholar 

  • Silverman FN, Kuhn JP (1993) Caffey’s pediatric X-ray diagnosis: an integrated imaging approach, 9th edn. Mosby, St Louis

    Google Scholar 

  • Stephens FD (1983a) Normal embryology of the cloaca. In: Stephens FD (ed) Congenital malformation of the urinary tract. Praeger, New York, pp 1–14

    Google Scholar 

  • Stephens FD (1983b) Abnormal Embryology — Cloacal dysgenesis. In: Stephens FD (ed) Congenital malformation of the urinary tract. Praeger, New York, pp 15–52

    Google Scholar 

  • Taybi H, Lachman RS (1996) Radiology of syndromes, metabolic disorders, and skeletal dysplasias, 4th edn. Mosby, St. Louis

    Google Scholar 

  • Teele RL, Share JC (1991) Ultrasonography of infants and children. Saunders, Philadelphia, pp 240–244

    Google Scholar 

  • Teele RL, Share JC (1992) Ultrasonography of the female pelvis in childhood and adolescence. Radiol Clin North Am 30: 743–758

    PubMed  CAS  Google Scholar 

  • Teele RL, Share JC (1997) Transperineal sonography in children. AJR 168: 1263–1267

    PubMed  CAS  Google Scholar 

  • Tolete-Velcek F, Hansbrough F, Kugaczewski J, Coren CV, Klotz DH, Price AF, Laungani G, Kottmeier PK (1989) Uterovaginal malformations: a trap for the unsuspecting surgeon. J Pediatr Surg 24: 736–740

    Article  PubMed  CAS  Google Scholar 

  • Topaloglu AK, Vade A, Zeller WP (1997) Congenital adrenal hyperplasia and bilateral ovarian cysts in a neonate. Clin Pediatr 36: 719–720

    Article  CAS  Google Scholar 

  • Tourneux F (1888) Sur les premiers développements du cloaques du tubercule génital et de l’anus chez l’embryon de mouton. J Anat 24: 503–517

    Google Scholar 

  • Unsinn KM, Neu N, Krejci A, Posch A, Menardi G, Gassner I (1995) Pallister-Hall syndrome and McKusick-Kaufmann syndrome: one entity? J Med Genet 32: 125–128

    Article  PubMed  CAS  Google Scholar 

  • Van Bogaert LJ (1992) Surgical repair of hypospadias in women with symptoms of urethral syndrome. J Urol 147: 1263–1264

    PubMed  Google Scholar 

  • Van der Putte SCJ (1986) Normal and abnormal development of the anorectum. J Pediatr Surg 24: 434–440

    Google Scholar 

  • Wagner BJ, Woodward P (1994) Magnetic resonance evaluation of congenital uterine anomalies. Semin Ultrasound CT MR 15: 4–17

    Article  PubMed  CAS  Google Scholar 

  • Williams DJ, Bloomberg S (1976) Urogenital sinus in the female child J Pdiatr Surg 11: 51–56

    Article  CAS  Google Scholar 

  • Wilson JD, Goldstein JL (1975) Classification of hereditary disorders of sexual development. Birth Defects Orig Artic Ser 11: 1–16

    PubMed  CAS  Google Scholar 

  • Woolf RB, Allen WM (1953) Concomitant malformations: the frequent simultaneous occurrence of congenital malformations of the reproductive and urinary tracts. Obstet Gynecol 2: 236–265

    PubMed  CAS  Google Scholar 

  • Wu A, Siegel MJ (1987) Sonography of pelvic masses in children: diagnostic predictability. AJR 148: 1199–1202

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Section of Pediatric Radiology, University of Innsbruck, Medical School, Anichstrasse 35, 6020, Innsbruck, Austria

    T. E. Geley MD & I. Gassner MD

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  1. T. E. Geley MD
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  2. I. Gassner MD
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Editors and Affiliations

  1. Division of Pediatric Radiology Department of Radiology, University Hospital Graz, Auenbruggerplatz 34, 8036, Graz, Austria

    Richard Fotter MD (Professor and Chairman, Head) (Professor and Chairman, Head)

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© 2001 Springer-Verlag Berlin Heidelberg

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Geley, T.E., Gassner, I. (2001). Lower Urinary Tract Anomalies of Urogenital Sinus and Female Genital Anomalies. In: Fotter, R. (eds) Pediatric Uroradiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59428-1_22

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  • DOI: https://doi.org/10.1007/978-3-642-59428-1_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-43557-0

  • Online ISBN: 978-3-642-59428-1

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