A CLINICAL CASE OF CONGENITAL CLOACAL ANOMALY OF PELVIC ORGANS


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Resumo

The paper describes a clinical case of severe concomitant anorectal and urogenital malformation in an 11-year female patient who has undergone more than 20 reconstructive surgical interventions. Surgical correction in patients with cloacal malformation of pelvic organs is a major challenge because of concomitant anomalies and requires that urologists, proctologists, and gynecologists should jointly participate in the choice of the optimal volume of surgery and in the prevention of multiple interventions. At the first stage, the function of the vital organs of the digestive and urinary systems should be restored, followed by their repair where possible. If the concomitant genital anomaly is present, it is necessary to objectively assess whether adequate repair can be performed, by taking into account the magnitude of dysplastic changes and the degree of malformation of the uterus, vagina, and gonads.

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Sobre autores

L. ADAMYAN

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Development of Russia; Moscow State University of Medicine and Dentistry; Research Institute of Coloproctology

S. DARENKOV

Russian State Medical University

Yu. SHELYGIN

Research Institute of Coloproctology

T. GLYBINA

Moscow State University of Medicine and Dentistry

E. UVAROVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Development of Russia

Z. KUMYKOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Development of Russia

Z. GADZHIYEVA

Moscow State University of Medicine and Dentistry; Research Institute of Coloproctology

Z. MAKIYAN

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Development of Russia

Bibliografia

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  2. Levitt M.A., Pena A. Management in the newborn period. In: Holschneider A.M., Hutson J., eds. Anorectal malformations in children. Heidelberg: Springer; 2006: 289-94.
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  4. Levitt M.A., Pena A. Cloacal malformations: lessons learned from 490 cases. Semin. Pediatr. Surg. 2010; 19(2): 128-38.
  5. Оперативная урология. Классика и новации: Руководство для врачей. Л. Г. Манагадзе, Н.А. Лопаткин, О.Б. Лоран, Д.Ю. Пушкарь, С.П. Даренков, Н.Л. Турманидзе, Р. Гогенфеллнер. М.: Медицина; 2003. 740 с.

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