Complete unilateral leg duplication with ipsilateral renal agenesis
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Complete unilateral leg duplication with ipsilateral renal agenesis. / Lilje, Christian; Finger, Leron J; Ascuitto, Robert J.
in: ACTA PAEDIATR, Jahrgang 96, Nr. 3, 03.2007, S. 464-465.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Complete unilateral leg duplication with ipsilateral renal agenesis
AU - Lilje, Christian
AU - Finger, Leron J
AU - Ascuitto, Robert J
PY - 2007/3
Y1 - 2007/3
N2 - UNLABELLED: A case of a 5-month-old infant with complete duplication of the right leg and ipsilateral renal agenesis is presented. There was also a duplicated scrotum, posterior urethral valves with hydronephrosis, abnormal pelvic bones, and a ventricular septal defect. Complete caudal duplication is exceedingly rare. Associated defects are common. Several aetiological theories have been proposed. Among them, an underlying polytopic (acro-renal) developmental field defect has been suggested. It best explains the specific findings in our patient. However, the aetiology of caudal duplication syndromes may be multifactorial. In the light of twinning theories, associated duplication of hindgut derivates should be suspected in similar cases. Further research is needed. The motor-skeletal functional outcome after leg duplication surgery is mostly favourable.CONCLUSION: A case of complete unilateral leg duplication with ipsilateral renal agenesis is presented. It appears to support the theory of a polytopic developmental field defect.
AB - UNLABELLED: A case of a 5-month-old infant with complete duplication of the right leg and ipsilateral renal agenesis is presented. There was also a duplicated scrotum, posterior urethral valves with hydronephrosis, abnormal pelvic bones, and a ventricular septal defect. Complete caudal duplication is exceedingly rare. Associated defects are common. Several aetiological theories have been proposed. Among them, an underlying polytopic (acro-renal) developmental field defect has been suggested. It best explains the specific findings in our patient. However, the aetiology of caudal duplication syndromes may be multifactorial. In the light of twinning theories, associated duplication of hindgut derivates should be suspected in similar cases. Further research is needed. The motor-skeletal functional outcome after leg duplication surgery is mostly favourable.CONCLUSION: A case of complete unilateral leg duplication with ipsilateral renal agenesis is presented. It appears to support the theory of a polytopic developmental field defect.
KW - Abnormalities, Multiple
KW - Heart Septal Defects, Ventricular/etiology
KW - Humans
KW - Hydronephrosis/etiology
KW - Infant
KW - Kidney/abnormalities
KW - Leg/abnormalities
KW - Male
KW - Pelvis/abnormalities
KW - Thoracic Vertebrae/abnormalities
KW - Vesico-Ureteral Reflux/etiology
U2 - 10.1111/j.1651-2227.2007.00127.x
DO - 10.1111/j.1651-2227.2007.00127.x
M3 - SCORING: Journal article
C2 - 17407482
VL - 96
SP - 464
EP - 465
JO - ACTA PAEDIATR
JF - ACTA PAEDIATR
SN - 0803-5253
IS - 3
ER -