Final Pr. ID: Poster #: CR-06 (R)
OEIS complex is the most severe end of the expectrum of the exstrophy - epispadias complex . It is characterized by omphalocele, extrophy, imperforate anus and spinal defects and is often associated with other malformations on chest, abdomen genitourinary, skeletal and neurologic. The incidence of OEIS complex is very rare, estimated to occur in 0, 5 – 1 per 200 000 live births.
We present a case of OEIS complex associated with horseshoe kidney. The baby was delivered by vaginal delivery (GA 39 weeks). Present normal male kariotype.
On physical examination there were omphalocele with herniation of a segment of the large bowel, cloacal exstrophy with two hemi bladders, imperforate anus and spina bifida. No external genitalia were identified on physical examination but bilateral cryptorchidism was observed in pelvic MRI
Renal ultrasound show hoershoe kidney with left pelvic ectasia that was confirmed on abdominal MRI and urotomography. Spinal ultrasound and MRI show lipomyelomenigocele and low spinal cord insertion. Also the baby has sacral segmentation defects and congenital hip subluxation. Read More
Final Pr. ID: Paper #: 108
Bladder exstrophy (BE), cloacal exstrophy (CE), and "Omphalocele, Exstrophy of the Cloaca, Imperforate Anus, and Spinal Defects Complex" (OEIS) are very rare conditions. They can present in isolation or as part of a spectrum of congenital malformations involving multiple organ systems. The diagnosis can be missed or misidentified during prenatal imaging due in no small part to the rarity and complexity of these conditions. The purpose of this study is to determine whether prenatal referral to specialty centers improves diagnostic accuracy, with the potential to improve patient counseling through a multidisciplinary approach. Read More