A case of persistent urogenital sinus

Pitfalls and challenges in diagnosis

Hooi H. Tan, Shung K. Tan, Rajah Shunmugan, Rozman Zakaria, Zakaria Zahari

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)e455-e459
JournalSultan Qaboos University Medical Journal
Volume17
Issue number4
DOIs
Publication statusPublished - 1 Nov 2017

Fingerprint

Malaysia
Urinary Tract
Hydrocolpos
Intermittent Urethral Catheterization
Perineum
Neurogenic Urinary Bladder
Genitalia
Delayed Diagnosis
Diagnostic Errors
Pelvis
Embryonic Development
Urinary Bladder
Magnetic Resonance Imaging

Keywords

  • Case report
  • Clean intermittent catheterization
  • Congenital defects
  • Cystography
  • Hydrocolpos
  • Malaysia
  • Urogenital abnormalities

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A case of persistent urogenital sinus : Pitfalls and challenges in diagnosis. / Tan, Hooi H.; Tan, Shung K.; Shunmugan, Rajah; Zakaria, Rozman; Zahari, Zakaria.

In: Sultan Qaboos University Medical Journal, Vol. 17, No. 4, 01.11.2017, p. e455-e459.

Research output: Contribution to journalArticle

Tan, Hooi H. ; Tan, Shung K. ; Shunmugan, Rajah ; Zakaria, Rozman ; Zahari, Zakaria. / A case of persistent urogenital sinus : Pitfalls and challenges in diagnosis. In: Sultan Qaboos University Medical Journal. 2017 ; Vol. 17, No. 4. pp. e455-e459.
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