Ultrasound has technical limitations: it does not provide good imaging with poor amniotic fluid, is not good at detecting early stages of cystic renal dysplasia, and not all anorectal malformations will be detected even when searching for them
Bladder exstrophy should have a normal rectum with bright T1 and dark T2 signal, absent bladder visualization, protruding structure in infraumbilical abdominal wall, and unusual external genitalia with epispadias
In Cincinnati Children's review, cloacal exstrophy patients did not present meconium signal in the bowel in the expected distribution of the rectum, which is completely different from bladder exstrophy
In the fetal bowel, the stomach and proximal bowel contain mostly fluid (bright on T2-weighted MRI), while distal bowel contains meconium (dark on T2-weighted imaging, bright on T1-weighted imaging)
Genital urinary anomalies and anorectal malformations represent a broad spectrum; the more severe the malformations, the higher the chances that amniotic fluid volume will be abnormal
Urogenital sinus can present with urinary hydrocolpos and obstructive uropathy and/or ascites, but the rectum follows a normal course posterior to the bladder and is not dilated
clinicalGenital urinary anomalies and anorectal malformations represent a broad spectrum; the more severe the malformations, the higher the chances that amniotic fluid volume will be abnormal↗
▶Ep 10 · 12:05
clinicalCincinnati Children's uses a combined approach with ultrasound and fetal MRI because they are complementary techniques↗
▶Ep 10 · 12:50
clinicalOn ultrasound, the first structure seen from the abdominal cord insertion is the bladder, outlined by umbilical arteries (three-vessel cord) or single artery (two-vessel cord)↗
▶Ep 10 · 13:45
clinicalEchogenic concretions (meconium) in the hydrocolpos or bladder are clues for rectourinary fistula and anorectal malformation↗
▶Ep 10 · 14:36
clinicalUltrasound has technical limitations: it does not provide good imaging with poor amniotic fluid, is not good at detecting early stages of cystic renal dysplasia, and not all anorectal malformations will be detected even when searching for them↗
▶Ep 10 · 15:24
clinicalIn the fetal bowel, the stomach and proximal bowel contain mostly fluid (bright on T2-weighted MRI), while distal bowel contains meconium (dark on T2-weighted imaging, bright on T1-weighted imaging)↗
▶Ep 10 · 16:23
clinicalMeconium is not expected to reach the rectum until 20 weeks gestation and will fill the entire colonic column by 26 weeks↗
▶Ep 10 · 18:02
clinicalIn a Cincinnati Children's review of prenatal MRI of cloacal malformations, long common channel cloacas presented with high position of the rectum and dilatation↗
▶Ep 10 · 19:02
clinicalCloacas and imperforate anus with rectourinary fistula can have fluid distention of the rectum and enterolith-like material↗
▶Ep 10 · 19:20
clinicalIncreased fluid content in the rectum (bright signal instead of dark on T2-weighted MRI) is a clue for rectourinary fistula↗
▶Ep 10 · 20:09
clinicalLong common channel cloacas can present with hydrocolpos and urinary ascites↗
▶Ep 10 · 20:49
clinicalUrogenital sinus can present with urinary hydrocolpos and obstructive uropathy and/or ascites, but the rectum follows a normal course posterior to the bladder and is not dilated↗
▶Ep 10 · 22:14
clinicalCloacal exstrophy patients typically present with persistent absent visualization of the bladder and normal amniotic fluid, indicating urine is making its pathway out↗
▶Ep 10 · 22:50
clinicalCloacal exstrophy babies frequently have an omphalocele that is typically lower in position and can have spinal defects, typically skin-covered↗
▶Ep 10 · 23:05
clinicalThe prolapsed terminal ileum in cloacal exstrophy appears as a tubular structure protruding and floating in amniotic fluid, called the 'elephant trunk sign'↗
▶Ep 10 · 24:54
clinicalIn Cincinnati Children's review, cloacal exstrophy patients did not present meconium signal in the bowel in the expected distribution of the rectum, which is completely different from bladder exstrophy↗
▶Ep 10 · 25:16
clinicalBladder exstrophy should have a normal rectum with bright T1 and dark T2 signal, absent bladder visualization, protruding structure in infraumbilical abdominal wall, and unusual external genitalia with epispadias↗
clinicalGenital urinary anomalies and anorectal malformations represent a broad spectrum; the more severe the malformations, the higher the chances that amniotic fluid volume will be abnormal↗
▶Ep 3 · 12:05
clinicalCincinnati Children's uses a combined approach with ultrasound and fetal MRI because they are complementary techniques↗
▶Ep 3 · 12:50
clinicalOn ultrasound, the first structure seen from the abdominal cord insertion is the bladder, outlined by umbilical arteries (three-vessel cord) or single artery (two-vessel cord)↗
▶Ep 3 · 13:45
clinicalEchogenic concretions (meconium) in the hydrocolpos or bladder are clues for rectourinary fistula and anorectal malformation↗
▶Ep 3 · 14:36
clinicalUltrasound has technical limitations: it does not provide good imaging with poor amniotic fluid, is not good at detecting early stages of cystic renal dysplasia, and not all anorectal malformations will be detected even when searching for them↗
▶Ep 3 · 15:24
clinicalIn the fetal bowel, the stomach and proximal bowel contain mostly fluid (bright on T2-weighted MRI), while distal bowel contains meconium (dark on T2-weighted imaging, bright on T1-weighted imaging)↗
▶Ep 3 · 16:23
clinicalMeconium is not expected to reach the rectum until 20 weeks gestation and will fill the entire colonic column by 26 weeks↗
▶Ep 3 · 18:02
clinicalIn a Cincinnati Children's review of prenatal MRI of cloacal malformations, long common channel cloacas presented with high position of the rectum and dilatation↗
▶Ep 3 · 19:02
clinicalCloacas and imperforate anus with rectourinary fistula can have fluid distention of the rectum and enterolith-like material↗
▶Ep 3 · 19:20
clinicalIncreased fluid content in the rectum (bright signal instead of dark on T2-weighted MRI) is a clue for rectourinary fistula↗
▶Ep 3 · 20:09
clinicalLong common channel cloacas can present with hydrocolpos and urinary ascites↗
▶Ep 3 · 20:49
clinicalUrogenital sinus can present with urinary hydrocolpos and obstructive uropathy and/or ascites, but the rectum follows a normal course posterior to the bladder and is not dilated↗
▶Ep 3 · 22:14
clinicalCloacal exstrophy patients typically present with persistent absent visualization of the bladder and normal amniotic fluid, indicating urine is making its pathway out↗
▶Ep 3 · 22:50
clinicalCloacal exstrophy babies frequently have an omphalocele that is typically lower in position and can have spinal defects, typically skin-covered↗
▶Ep 3 · 23:05
clinicalThe prolapsed terminal ileum in cloacal exstrophy appears as a tubular structure protruding and floating in amniotic fluid, called the 'elephant trunk sign'↗
▶Ep 3 · 24:54
clinicalIn Cincinnati Children's review, cloacal exstrophy patients did not present meconium signal in the bowel in the expected distribution of the rectum, which is completely different from bladder exstrophy↗
▶Ep 3 · 25:16
clinicalBladder exstrophy should have a normal rectum with bright T1 and dark T2 signal, absent bladder visualization, protruding structure in infraumbilical abdominal wall, and unusual external genitalia with epispadias↗
Maria's statements about Colorectal / ARM & Hirschsprung35 statements
clinicalGenital urinary anomalies and anorectal malformations represent a broad spectrum; the more severe the malformations, the higher the chances that amniotic fluid volume will be abnormal↗
▶Ep 17 · 11:29
clinicalGenital urinary anomalies and anorectal malformations represent a broad spectrum; the more severe the malformations, the higher the chances that amniotic fluid volume will be abnormal↗
▶Ep 17 · 12:05
clinicalCincinnati Children's uses a combined approach with ultrasound and fetal MRI because they are complementary techniques↗
▶Ep 17 · 12:05
clinicalCincinnati Children's uses a combined approach with ultrasound and fetal MRI because they are complementary techniques↗
▶Ep 17 · 12:50
clinicalOn ultrasound, the first structure seen from the abdominal cord insertion is the bladder, outlined by umbilical arteries (three-vessel cord) or single artery (two-vessel cord)↗
▶Ep 17 · 12:50
clinicalOn ultrasound, the first structure seen from the abdominal cord insertion is the bladder, outlined by umbilical arteries (three-vessel cord) or single artery (two-vessel cord)↗
▶Ep 17 · 13:45
clinicalEchogenic concretions (meconium) in the hydrocolpos or bladder are clues for rectourinary fistula and anorectal malformation↗
▶Ep 17 · 13:45
clinicalEchogenic concretions (meconium) in the hydrocolpos or bladder are clues for rectourinary fistula and anorectal malformation↗
▶Ep 17 · 14:36
clinicalUltrasound has technical limitations: it does not provide good imaging with poor amniotic fluid, is not good at detecting early stages of cystic renal dysplasia, and not all anorectal malformations will be detected even when searching for them↗
▶Ep 17 · 14:36
clinicalUltrasound has technical limitations: it does not provide good imaging with poor amniotic fluid, is not good at detecting early stages of cystic renal dysplasia, and not all anorectal malformations will be detected even when searching for them↗
▶Ep 17 · 15:24
clinicalIn the fetal bowel, the stomach and proximal bowel contain mostly fluid (bright on T2-weighted MRI), while distal bowel contains meconium (dark on T2-weighted imaging, bright on T1-weighted imaging)↗
▶Ep 17 · 15:24
clinicalIn the fetal bowel, the stomach and proximal bowel contain mostly fluid (bright on T2-weighted MRI), while distal bowel contains meconium (dark on T2-weighted imaging, bright on T1-weighted imaging)↗
▶Ep 17 · 16:23
clinicalMeconium is not expected to reach the rectum until 20 weeks gestation and will fill the entire colonic column by 26 weeks↗
▶Ep 17 · 16:23
clinicalMeconium is not expected to reach the rectum until 20 weeks gestation and will fill the entire colonic column by 26 weeks↗
▶Ep 17 · 16:44
clinicalAccording to Seinda and co-authors, the rectum length from bladder base to the most distal segment should measure at least 10 millimeters on sagittal view↗
▶Ep 17 · 18:02
clinicalIn a Cincinnati Children's review of prenatal MRI of cloacal malformations, long common channel cloacas presented with high position of the rectum and dilatation↗
▶Ep 17 · 18:02
clinicalIn a Cincinnati Children's review of prenatal MRI of cloacal malformations, long common channel cloacas presented with high position of the rectum and dilatation↗
▶Ep 17 · 19:02
clinicalCloacas and imperforate anus with rectourinary fistula can have fluid distention of the rectum and enterolith-like material↗
▶Ep 17 · 19:02
clinicalCloacas and imperforate anus with rectourinary fistula can have fluid distention of the rectum and enterolith-like material↗
▶Ep 17 · 19:20
clinicalIncreased fluid content in the rectum (bright signal instead of dark on T2-weighted MRI) is a clue for rectourinary fistula↗
▶Ep 17 · 19:20
clinicalIncreased fluid content in the rectum (bright signal instead of dark on T2-weighted MRI) is a clue for rectourinary fistula↗
▶Ep 17 · 20:09
clinicalLong common channel cloacas can present with hydrocolpos and urinary ascites↗
▶Ep 17 · 20:09
clinicalLong common channel cloacas can present with hydrocolpos and urinary ascites↗
▶Ep 17 · 20:49
clinicalUrogenital sinus can present with urinary hydrocolpos and obstructive uropathy and/or ascites, but the rectum follows a normal course posterior to the bladder and is not dilated↗
▶Ep 17 · 20:49
clinicalUrogenital sinus can present with urinary hydrocolpos and obstructive uropathy and/or ascites, but the rectum follows a normal course posterior to the bladder and is not dilated↗
▶Ep 17 · 22:14
clinicalCloacal exstrophy patients typically present with persistent absent visualization of the bladder and normal amniotic fluid, indicating urine is making its pathway out↗
▶Ep 17 · 22:14
clinicalCloacal exstrophy patients typically present with persistent absent visualization of the bladder and normal amniotic fluid, indicating urine is making its pathway out↗
▶Ep 17 · 22:50
clinicalCloacal exstrophy babies frequently have an omphalocele that is typically lower in position and can have spinal defects, typically skin-covered↗
▶Ep 17 · 22:50
clinicalCloacal exstrophy babies frequently have an omphalocele that is typically lower in position and can have spinal defects, typically skin-covered↗
▶Ep 17 · 23:05
clinicalThe prolapsed terminal ileum in cloacal exstrophy appears as a tubular structure protruding and floating in amniotic fluid, called the 'elephant trunk sign'↗
▶Ep 17 · 23:05
clinicalThe prolapsed terminal ileum in cloacal exstrophy appears as a tubular structure protruding and floating in amniotic fluid, called the 'elephant trunk sign'↗
▶Ep 17 · 24:54
clinicalIn Cincinnati Children's review, cloacal exstrophy patients did not present meconium signal in the bowel in the expected distribution of the rectum, which is completely different from bladder exstrophy↗
▶Ep 17 · 24:54
clinicalIn Cincinnati Children's review, cloacal exstrophy patients did not present meconium signal in the bowel in the expected distribution of the rectum, which is completely different from bladder exstrophy↗
▶Ep 17 · 25:16
clinicalBladder exstrophy should have a normal rectum with bright T1 and dark T2 signal, absent bladder visualization, protruding structure in infraumbilical abdominal wall, and unusual external genitalia with epispadias↗
▶Ep 17 · 25:16
clinicalBladder exstrophy should have a normal rectum with bright T1 and dark T2 signal, absent bladder visualization, protruding structure in infraumbilical abdominal wall, and unusual external genitalia with epispadias↗
Summaries Maria gave as host
· 3 summaries
Recaps of other experts' statements, not Maria's own clinical position.
Summaries Maria gave as host · Anorectal Malformation1 summary
host summaryMaria Calvos summarizing the discussion: According to Seinda and co-authors, the rectum length from bladder base to the most distal segment should measure at least 10 millimeters on sagittal view↗
host summaryMaria Calvos summarizing the discussion: According to Seinda and co-authors, the rectum length from bladder base to the most distal segment should measure at least 10 millimeters on sagittal view↗
Summaries Maria gave as host · Colorectal / ARM & Hirschsprung1 summary
host summaryMaria Calvos summarizing the discussion: According to Seinda and co-authors, the rectum length from bladder base to the most distal segment should measure at least 10 millimeters on sagittal view↗
