PEDIATRICS Vol. 31 No. 2 February 1963, pp. 290-296
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CONGENITAL ABNORMALITIES OF THE GENITOURINARY TRACT: ABDOMINAL MUSCLE DYSPLASIA AND CHOANAL ATRESIA

Joseph T. Brierre Jr. M.D.1

1 Naval Medical School, Bethesda

The case reported represents a broad spectrum of associated anomalies: obstructive uropathy, abdominal muscle dysplasia, bilateral failure of descent of testes, urachal cyst, oligohydramnios, amnion nodosum, and varus deformity of the lower extremities. The less common association of polycystic kidneys and absence of prostatic tissue was also observed. This represents the first case in which choanal atresia has been observed. The pathogenesis of the various lesions is discussed. Emphasis is placed on the early recognition of the underlying genitourinary pathology because of the possibility of prolonged useful life if amenable to correction and detected before advanced renal damage has taken place.

Submitted on April 11, 1962
Accepted on May 15, 1962