Potter’s Sequence with Bilateral Renal Agenesis and Congenital Pouch Colon with Rectovaginal Fistula: A Case Report ED20-ED21
Dr. Reema Bhushan,
1113, Sector-4, RK Puram, New Delhi-110022, India.
Bilateral renal agenesis is an uncommon diagnosis of prenatal life. It is seen to be associated with many other congenital anomalies and is also seen in association with Potters sequence. A still born female baby of 38 weeks and 5 days period of gestation was delivered by Lower Segment Caesarean Section (LSCS) with physical findings of low-set ears, a flat nose, loose skin fold over the neck, wide set eyes and bilateral club foot, suggestive of Potter’s sequence. On autopsy, baby had ascitis with smaller lungs. Both the kidneys were not identified in the renal fossa or at any other (ectopic) site (bilateral renal agenesis). There was also an associated unilateral ureteral agenesis. Additional finding that was detected at autopsy was dilated terminal bowel with congenital pouch colon, rectovaginal fistula and anal atresia (anorectal malformation). This case has been reported due to rarity of the combination of these constellations of findings.