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A Case of Persistent Urogenital Sinus: Pitfalls and challenges in diagnosis

Persistent urogenital sinus (PUGS) is a rare anomaly whereby the urinary and genital tracts fail to separate during embryonic development. We report a three-year-old female child who was referred to the Sabah Women & Children Hospital, Sabah, Malaysia, in 2016 with a pelvic mass. She had been bo...

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Main Authors: Tan, H.H., Tan, S.K., Shunmugan, R., Zakaria, R., Zahari, Z.
Format: Article
Language:English
Published: Sultan Qaboos University 2018
Subjects:
R Medicine
RD Surgery
RJ Pediatrics
Online Access:http://eprints.um.edu.my/19011/1/A_Case_of_Persistent_Urogenital_Sinus_-_Pitfalls_and_challenges_in_diagnosis.pdf
http://eprints.um.edu.my/19011/
http://dx.doi.org/10.18295/squmj.2017.17.04.013
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spelling my.um.eprints.190112018-08-17T01:10:25Z http://eprints.um.edu.my/19011/ A Case of Persistent Urogenital Sinus: Pitfalls and challenges in diagnosis Tan, H.H. Tan, S.K. Shunmugan, R. Zakaria, R. Zahari, Z. R Medicine RD Surgery RJ Pediatrics Persistent urogenital sinus (PUGS) is a rare anomaly whereby the urinary and genital tracts fail to separate during embryonic development. We report a three-year-old female child who was referred to the Sabah Women & Children Hospital, Sabah, Malaysia, in 2016 with a pelvic mass. She had been born prematurely at 36 gestational weeks via spontaneous vaginal delivery in 2013 and initially misdiagnosed with neurogenic bladder dysfunction. The external genitalia appeared normal and an initial sonogram and repeat micturating cystourethrograms did not indicate any urogenital anomalies. She therefore underwent clean intermittent catheterisation. Three years later, the diagnosis was corrected following the investigation of a persistent cystic mass posterior to the bladder. At this time, a clinical examination of the perineum showed a single opening into the introitus. Magnetic resonance imaging of the pelvis revealed gross hydrocolpos and a genitogram confirmed a diagnosis of PUGS, for which the patient underwent surgical separation of the urinary and genital tracts. Sultan Qaboos University 2018 Article PeerReviewed application/pdf en http://eprints.um.edu.my/19011/1/A_Case_of_Persistent_Urogenital_Sinus_-_Pitfalls_and_challenges_in_diagnosis.pdf Tan, H.H. and Tan, S.K. and Shunmugan, R. and Zakaria, R. and Zahari, Z. (2018) A Case of Persistent Urogenital Sinus: Pitfalls and challenges in diagnosis. Sultan Qaboos University Medical Journal [SQUMJ], 17 (4). e455-e459. ISSN 2075-051X http://dx.doi.org/10.18295/squmj.2017.17.04.013 doi:10.18295/squmj.2017.17.04.013
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
language English
topic R Medicine
RD Surgery
RJ Pediatrics
spellingShingle R Medicine
RD Surgery
RJ Pediatrics
Tan, H.H.
Tan, S.K.
Shunmugan, R.
Zakaria, R.
Zahari, Z.
A Case of Persistent Urogenital Sinus: Pitfalls and challenges in diagnosis
description Persistent urogenital sinus (PUGS) is a rare anomaly whereby the urinary and genital tracts fail to separate during embryonic development. We report a three-year-old female child who was referred to the Sabah Women & Children Hospital, Sabah, Malaysia, in 2016 with a pelvic mass. She had been born prematurely at 36 gestational weeks via spontaneous vaginal delivery in 2013 and initially misdiagnosed with neurogenic bladder dysfunction. The external genitalia appeared normal and an initial sonogram and repeat micturating cystourethrograms did not indicate any urogenital anomalies. She therefore underwent clean intermittent catheterisation. Three years later, the diagnosis was corrected following the investigation of a persistent cystic mass posterior to the bladder. At this time, a clinical examination of the perineum showed a single opening into the introitus. Magnetic resonance imaging of the pelvis revealed gross hydrocolpos and a genitogram confirmed a diagnosis of PUGS, for which the patient underwent surgical separation of the urinary and genital tracts.
format Article
author Tan, H.H.
Tan, S.K.
Shunmugan, R.
Zakaria, R.
Zahari, Z.
author_facet Tan, H.H.
Tan, S.K.
Shunmugan, R.
Zakaria, R.
Zahari, Z.
author_sort Tan, H.H.
title A Case of Persistent Urogenital Sinus: Pitfalls and challenges in diagnosis
title_short A Case of Persistent Urogenital Sinus: Pitfalls and challenges in diagnosis
title_full A Case of Persistent Urogenital Sinus: Pitfalls and challenges in diagnosis
title_fullStr A Case of Persistent Urogenital Sinus: Pitfalls and challenges in diagnosis
title_full_unstemmed A Case of Persistent Urogenital Sinus: Pitfalls and challenges in diagnosis
title_sort case of persistent urogenital sinus: pitfalls and challenges in diagnosis
publisher Sultan Qaboos University
publishDate 2018
url http://eprints.um.edu.my/19011/1/A_Case_of_Persistent_Urogenital_Sinus_-_Pitfalls_and_challenges_in_diagnosis.pdf
http://eprints.um.edu.my/19011/
http://dx.doi.org/10.18295/squmj.2017.17.04.013
_version_ 1643690859973050368
score 13.211869

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