Challenges in the management of caudal duplication syndrome

Caudal duplication syndrome (CDS) is a rare developmental anomaly in which embryonic cloaca and notochord structures are duplicated [1]. Due to the diverse clinical manifestation and rarity of CDS, it is crucial to report every case and to share experience and outcomes of individually adjusted manag...

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Autores principales:	Laine Bekere, Ainars Gilis, Zane Abola, Lasma Lidaka
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Caudal duplication syndrome Double vulva Double urinary bladder Reconstructive surgery Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/d644981adadb4e35b919ada13ae6e378
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spelling	oai:doaj.org-article:d644981adadb4e35b919ada13ae6e3782021-11-24T04:29:59ZChallenges in the management of caudal duplication syndrome2213-576610.1016/j.epsc.2021.102083https://doaj.org/article/d644981adadb4e35b919ada13ae6e3782021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003043https://doaj.org/toc/2213-5766Caudal duplication syndrome (CDS) is a rare developmental anomaly in which embryonic cloaca and notochord structures are duplicated [1]. Due to the diverse clinical manifestation and rarity of CDS, it is crucial to report every case and to share experience and outcomes of individually adjusted management plans.We report here the case of a 2-year-old girl born with duplication of the urogenital (bladder, urethra, uterus, vagina, vulva) and gastrointestinal (gallbladder, appendix vermiformis) systems. Additionally, coccygeal agenesis, lipomyelomeningocele and vertical talus were present. A thorough examination and urological reconstructive surgery were performed.While there may be a desire from patients, parents and healthcare specialists to modify all malformations to an anatomically correct state, the current opinion is that only anatomical variants that influence function should be modified. Consent from patients should be sought for decisions regarding more sensitive matters such as vulva surgery for cosmetic reasons or correction of anatomical variants without functional consequences.Laine BekereAinars GilisZane AbolaLasma LidakaElsevierarticleCaudal duplication syndromeDouble vulvaDouble urinary bladderReconstructive surgeryPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 75, Iss , Pp 102083- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Caudal duplication syndrome Double vulva Double urinary bladder Reconstructive surgery Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Caudal duplication syndrome Double vulva Double urinary bladder Reconstructive surgery Pediatrics RJ1-570 Surgery RD1-811 Laine Bekere Ainars Gilis Zane Abola Lasma Lidaka Challenges in the management of caudal duplication syndrome
description	Caudal duplication syndrome (CDS) is a rare developmental anomaly in which embryonic cloaca and notochord structures are duplicated [1]. Due to the diverse clinical manifestation and rarity of CDS, it is crucial to report every case and to share experience and outcomes of individually adjusted management plans.We report here the case of a 2-year-old girl born with duplication of the urogenital (bladder, urethra, uterus, vagina, vulva) and gastrointestinal (gallbladder, appendix vermiformis) systems. Additionally, coccygeal agenesis, lipomyelomeningocele and vertical talus were present. A thorough examination and urological reconstructive surgery were performed.While there may be a desire from patients, parents and healthcare specialists to modify all malformations to an anatomically correct state, the current opinion is that only anatomical variants that influence function should be modified. Consent from patients should be sought for decisions regarding more sensitive matters such as vulva surgery for cosmetic reasons or correction of anatomical variants without functional consequences.
format	article
author	Laine Bekere Ainars Gilis Zane Abola Lasma Lidaka
author_facet	Laine Bekere Ainars Gilis Zane Abola Lasma Lidaka
author_sort	Laine Bekere
title	Challenges in the management of caudal duplication syndrome
title_short	Challenges in the management of caudal duplication syndrome
title_full	Challenges in the management of caudal duplication syndrome
title_fullStr	Challenges in the management of caudal duplication syndrome
title_full_unstemmed	Challenges in the management of caudal duplication syndrome
title_sort	challenges in the management of caudal duplication syndrome
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/d644981adadb4e35b919ada13ae6e378
work_keys_str_mv	AT lainebekere challengesinthemanagementofcaudalduplicationsyndrome AT ainarsgilis challengesinthemanagementofcaudalduplicationsyndrome AT zaneabola challengesinthemanagementofcaudalduplicationsyndrome AT lasmalidaka challengesinthemanagementofcaudalduplicationsyndrome
_version_	1718416004253483008

Challenges in the management of caudal duplication syndrome

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