Presentation
A calcaneovarus deformity of the foot may be present. Sensory loss corresponding to involved sacral roots may be present. Type II The vertebropelvic junction is stable if associated myelomeningocele is not present. [boneandspine.com]
We present a case of 43 year old female who presented with intermittent dull aching pain in right lower abdomen, who had malrotated pelvic kidneys with vascular anomalies, associated with spina bifida. [casereports.in]
If obstruction is present, reconstruction is needed. Malrotation is usually of little clinical significance. Ultrasonography often shows hydronephrosis. [merckmanuals.com]
Usually, the uterus is absent but ovaries are present. Vaginal atresia (absent lower vagina). A normal uterus is usually present. Mullerian aplasia (nearly all the vagina and most of the uterus are absent). [fwcenterforpelvicmedicine.com]
In children, it normally presents with pain and vomiting. A significant number will require intervention - some do not present with functional obstruction until adulthood. [patient.info]
Entire Body System
- Anemia
Splenomegaly: infections (viruses, spirochetes), congenital hemolytic anemias (hereditary spherocytosis, thalassemia, hemoglobinopathies), storage disorders (Gaucher's disease, Niemann-Pick disease), mucopolysaccharide disorders (Hurler's syndrome) TABLE [aafp.org]
[…] condition Always bilateral Symptoms occur after age 40 Kidneys are very large and studded with cysts There may be cysts in the liver, spleen, and pancreas Symptoms include microscopic or gross hematuria, flank pain, hypertension Laboratory tests may show anemia [clevelandurology.net]
- Pathologist
At Loyola, we believe in treating the whole person, not just your illness, which is why your care team may include surgeons, radiologists, psychologists, physical therapists, rehabilitation specialists, urogynecologists, pathologists and advanced practice [loyolamedicine.org]
Workup
Workup should include WBC, lactate, electrolytes, BUN/creatinine. [unboundmedicine.com]
Workup An accurate radiologic evaluation is essential. Standard posteroanterior (PA) and lateral views of the entire spine are used for the initial evaluation. [emedicine.medscape.com]
Treatment
There are many treatments that we can offer you. [loyolamedicine.org]
They are not dangerous and may require cosmetic treatment or no treatment at all. Other vascular malformations, such as arteriovenous malformations and venous malformations, are located inside the body. [nyulangone.org]
The secretion may persist for several days but requires no treatment. Newborn with Unilateral Undescended Testis The rightsholder did not grant rights to reproduce this item in electronic media. [aafp.org]
Operative treatment Surgery is the most effective treatment for severe or progressive congenital scoliosis. Many different forms of operative treatment exist for congenital scoliosis, and all have their place. [emedicine.medscape.com]
Prognosis
In addition, in cases where the natural history indicates a poor prognosis, orthotic treatment is contraindicated. [emedicine.medscape.com]
Prognosis: Good if there is no associated anomalies. [iame.com]
[…] decompression or excision of cysts do not improve renal function There is no higher incidence of renal cell carcinoma in these patients 50% of the children of affected adults will have the disease When the disease affects children, it has a very poor prognosis [clevelandurology.net]
Ongoing Care Prognosis Adhesions are typically asymptomatic. Once present, they cannot be fully removed. No single approach has been satisfactory in removing adhesions. [unboundmedicine.com]
Advances in prenatal diagnosis, fetal surgery and targeted therapies have improved the prognosis and quality of life in affected families [ 1 ]. The kidney [ 1 ] The kidney is the most common site of congenital abnormalities. [patient.info]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Etiology of Sacral Agenesis The exact etiology of sacral agenesis is unknown. Maternal diabetes is the risk factor. Exposure to organic solvents in early pregnancy may increase the incidence. [boneandspine.com]
Congenital (4.7%) Inflammatory (2.3%) Etiology and Pathophysiology Congenital: formed during organogenesis Acquired adhesions Postinflammatory: most commonly from diverticulitis, appendicitis, endometriosis, peritonitis, radiotherapy, long-term peritoneal [unboundmedicine.com]
Another factor that favors an acquired etiology is that congenital megacalyces are typically seen in adults. FIGURE 2.8. Horseshoe kidney. [radiologykey.com]
Epidemiology
Epidemiology Incidence True incidence is difficult to determine because some adhesions are asymptomatic. [unboundmedicine.com]
Pathophysiology
Pathophysiology and prevention of postoperative peritoneal adhesions. World J Gastroenterol. 2011;17(41):4545–4553. [PMID:22147959] Moris D, Chakedis J, Rahnemai-Azar AA, et al. [unboundmedicine.com]
J Urol 152:596–599 PubMed Google Scholar Koff SA, Hayden LJ, Ciruli C, Shore R (1986) Pathophysiology of UPJ obstruction: experimental and clinical observations. [link.springer.com]
The pathophysiology behind this anomaly is either primary maturation abnormality of the vesicoureteral junction or a shorter intramural– submucosal segment of ureter. [omicsonline.org]
and Vaccaro, Alexander R., "Pathophysiology, diagnosis, and treatment of spinal meningoceles and arachnoid cysts" (2007). Department of Orthopaedic Surger.Faculty Papers. Paper 4. Http://jdc.jefferson.edu/orthofp/4 Dias MS and Azizkhan RG. [iame.com]
Prevention
Primary prevention: Avoid abdominal infection or need for abdominal surgery. [unboundmedicine.com]
Surgery may be required to prevent kidney damage. [ummchealth.com]
Early diagnosis is imperative because surgical correction can prevent irreversible neurologic damage. [aafp.org]
Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. [books.google.es]
Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] [icdlist.com]