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Collateral Damage From Fetal Interventions: Increasing the Complexity of Complex Patients
Niki Parikh1, Patricio Gargollo2, Candace Granberg2
1Department of Urology, Mayo Clinic, Rochester, MN..
Urology
|May 27, 2022
Summary
Fetal surgery for urethral atresia can lead to complications like fistulae. This case highlights Megacystis Microcolon Intestinal Hypoperistalsis Syndrome and the need for multidisciplinary care in fetal interventions.
Area of Science:
- Fetal medicine
- Pediatric surgery
- Medical case reports
Background:
- Fetal interventions are crucial for fetal survival and development.
- Complications from fetal surgery can lead to significant morbidity and mortality.
Observation:
- A male fetus diagnosed with urethral atresia underwent two vesicoamniotic shunt placements.
- The infant was born with Megacystis Microcolon Intestinal Hypoperistalsis Syndrome.
Findings:
- The infant presented with rectovesical and vesicocutaneous fistulae.
- These fistulae were likely iatrogenically created during the vesicoamniotic shunt procedures.
Implications:
- This case underscores potential complications associated with fetal interventions.
- A multidisciplinary team approach is essential for managing fetal conditions and their complications.
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