Abstract

Potter’s Syndrome is a rare congenital malformation which is an atypical physical appearance of the foetus or neonate due to Oligohydramnios experienced in the womb with distinctive facial characteristics. Oligohydramnios is the cause of the various deformities observed in Potter’s Sequence. It is characterised by bilateral renal agenesis, pulmonary hypoplasia, and skeletal defects of the neonate as a direct result of lack of amniotic fluid. Congenital pouch colon (CPC) is an extremely rare variant of anorectal malformation (ARM), in which varying lengths of the colon is replaced by a dilated pouch accompanied by a fistula communicating with the genitourinary tract. Complete Penoscrotal Transposition (CPST) is a rare and unusual malformation in which the scrotum is located cephalic to the penis. It is associated with major and often life threatening malformations. The present case has multiple malformations which include, potter’s syndrome, congenital pouch colon in omphalocele and complete penoscrotal transposition. The aim of this study was to determine the incidence, prevalence of these multiple malformations according to anatomical localization. This complex anomaly is very rare and interesting. Survival is extremely rare. In view of prognosis early diagnosis allows for earlier and less traumatic therapeutic abortion.

Highlights

  • Edith Potter, the pioneer in the field of human renal development, analysed 5000 autopsies on foetuses and new born infants over a period of 10 years

  • In 1946, she described the facial characteristics of infants with bilateral renal agenesis and pulmonary hypoplasia as a result of oligohydramnios due to compression in utero

  • We report a rare variant of Potter sequence associated with congenital pouch colon in the omphalocele and penoscrotal transposition

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Summary

Introduction

Edith Potter, the pioneer in the field of human renal development, analysed 5000 autopsies on foetuses and new born infants over a period of 10 years. She was able to deduce the sequence of events that lead to Potter sequence. Congenital pouch colon is commonly known as congenital short colon. This rare anomaly is counted with anorectal malformations (ARM). It is to be considered especially during the clinical evaluation of the children with cloacal malformations and anorectal anomalies. It may be due to dietary, environmental factors and familial inheritance

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