Imaging Evaluation of Fetal Megacystis: How Can Magnetic Resonance Imaging Help?

Evaluation of the kidneys, bladder, and amniotic fluid volume forms part of any standard obstetrical ultrasound. When a fetal genitourinary anomaly is suspected, a more detailed evaluation is necessary. This detailed imaging can be challenging in the setting of decreased or absent amniotic fluid or large maternal body habitus, and in complex malformations. In these situations, magnetic resonance imaging can help to better define the fetal anatomy and provide a more confident and specific prenatal diagnosis.

[1]  J. Oury,et al.  Prenatal pelvic MRI: additional clues for assessment of urogenital obstructive anomalies. , 2014, Journal of pediatric urology.

[2]  R. Meuli,et al.  Anorectal Malformations: Finding the Pathway out of the Labyrinth. , 2013, Radiographics : a review publication of the Radiological Society of North America, Inc.

[3]  F. Lim,et al.  Fetal MRI of cloacal exstrophy , 2013, Pediatric Radiology.

[4]  Ann M. Johnson,et al.  Complex genitourinary abnormalities on fetal MRI: imaging findings and approach to diagnosis. , 2012, AJR. American journal of roentgenology.

[5]  W. Sepulveda,et al.  Evaluation of the perianal muscular complex in the prenatal diagnosis of anorectal atresia in a high‐risk population , 2012, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[6]  T. Crombleholme,et al.  Fetal MRI clues to diagnose cloacal malformations , 2011, Pediatric Radiology.

[7]  S. Vijayaraghavan,et al.  Sonographic Depiction of the Fetal Anus and Its Utility in the Diagnosis of Anorectal Malformations , 2011, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[8]  M. A. Melo,et al.  Prenatal Diagnosis of Persistent Urogenital Sinus with Duplicated Hydrometrocolpos and Ascites – A Case Report , 2010, Fetal Diagnosis and Therapy.

[9]  M. Carr,et al.  Prenatal management of urogenital disorders. , 2004, The Urologic clinics of North America.

[10]  Y. Taketani,et al.  Survival in a Neonate with Complete Urorectal Septum Malformation Sequence after Fetal Vesico-Amniotic Shunting for a Prominently Dilated Cloaca , 2008, Fetal Diagnosis and Therapy.

[11]  D. Wilcox,et al.  Abnormalities of the fetal bladder. , 2008, Seminars in fetal & neonatal medicine.

[12]  O. Muensterer,et al.  Bladder outlet obstruction causes fetal enterolithiasis in anorectal malformation with rectourinary fistula. , 2008, Journal of pediatric surgery.

[13]  A. Couture Fetal Gastrointestinal Tract: US and MR , 2008 .

[14]  R. Morris,et al.  Fetal lower urinary tract obstruction. , 2007, Seminars in fetal & neonatal medicine.

[15]  D. Doherty,et al.  The evidence for abandoning the amniotic fluid index in favor of the single deepest pocket. , 2007, American journal of perinatology.

[16]  R. Frydman,et al.  Fetal magnetic resonance imaging in the antenatal diagnosis and management of hydrocolpos , 2007, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[17]  T. Shono,et al.  Prenatal ultrasonographic and magnetic resonance imaging findings of congenital cloacal anomalies associated with meconium peritonitis. , 2007, Journal of pediatric surgery.

[18]  M. Procházka,et al.  Fetal enterolithiasis: prenatal sonographic and MRI diagnosis in two cases of urorectal septum malformation (URSM) sequence , 2006, Prenatal diagnosis.

[19]  D. Prayer,et al.  Fetal abdominal magnetic resonance imaging. , 2006, European journal of radiology.

[20]  Y. Ville,et al.  Correlation between ultrasound and anatomical findings in fetuses with lower urinary tract obstruction in the first half of pregnancy , 2005, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[21]  C. Garel,et al.  Prenatal diagnosis of a cystic type IV sacrococcygeal teratoma mimicking a cloacal anomaly: contribution of MR , 2005, Prenatal diagnosis.

[22]  R. Aslankoc,et al.  The development of large intestine during the fetal period. , 2004, Early human development.

[23]  T. Crombleholme,et al.  Sacrococcygeal teratoma: prenatal assessment, fetal intervention, and outcome. , 2004, Journal of pediatric surgery.

[24]  W. Sepulveda Megacystis in the first trimester , 2004, Prenatal diagnosis.

[25]  D. Twickler,et al.  MRI of fetal genitourinary anomalies. , 2003, AJR. American journal of roentgenology.

[26]  B. Kogan,et al.  The effect of bladder outlet obstruction on the developing kidney , 2003, BJU international.

[27]  J. Wax,et al.  Enlarged fetal bladder: Differential diagnosis and outcomes , 2003, Journal of clinical ultrasound : JCU.

[28]  N. Chaubal,et al.  Calcified Meconium , 2003, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[29]  A. Tarantal,et al.  Experimental models of fetal obstructive nephropathy , 2002, Pediatric Nephrology.

[30]  A. Couture,et al.  MRI of the fetal gastrointestinal tract , 2002, Pediatric Radiology.

[31]  M. Whittle,et al.  Enlarged fetal bladders: aetiology, management and outcome , 2001, Prenatal diagnosis.

[32]  M. Siegel,et al.  Special Imaging Casebook: Prune-Belly Syndrome With Urachal Diverticular Calcification, Posterior Urethral Valves, and Patent Utricle , 1999, Journal of Perinatology.

[33]  M. Evans,et al.  Prenatal Diagnosis of Cloacal Dysgenesis Sequence: Differential Diagnosis from Other Forms of Fetal Obstructive Uropathy , 1998, Fetal Diagnosis and Therapy.

[34]  C. Granata,et al.  Megacystis-microcolon-intestinal hypoperistalsis syndrome. , 2005, Journal of pediatric gastroenterology and nutrition.

[35]  Mark Johnson,et al.  In-utero percutaneous cystoscopy in the management of fetal lower obstructive uropathy , 1995, The Lancet.

[36]  J. Estroff,et al.  Prenatal diagnosis of the megacystis-megaureter association. , 1992, The Journal of urology.

[37]  W. Berdon,et al.  Megacystis-microcolon-intestinal hypoperistalsis syndrome: a new cause of intestinal obstruction in the newborn. Report of radiologic findings in five newborn girls. , 1976, AJR. American journal of roentgenology.