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Ahmed Adam, Julian Hellig, Nasreen Mahomed, Lindsay Lambie

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1 Ahmed Adam, Julian Hellig, Nasreen Mahomed, Lindsay Lambie
Recurrent Urinary Tract Infections in a Female Child With Polydactyly and a Pelvic Mass: Consider the McKusick-Kaufman Syndrome  Ahmed Adam, Julian Hellig, Nasreen Mahomed, Lindsay Lambie  Urology  Volume 103, Pages (May 2017) DOI: /j.urology Copyright © 2017 Elsevier Inc. Terms and Conditions

2 Figure 1 Clinical images of the polydactyly (hands and feet). (A) Right hand with previous appendage stump visualized (black arrow, lateral view). (B) Left hand with previous appendage stump visualized (black arrow, lateral view). (C) Right foot. (D) Left foot. (Color version available online.) Urology  , DOI: ( /j.urology ) Copyright © 2017 Elsevier Inc. Terms and Conditions

3 Figure 2 Clinical picture of the vaginal atresia and corresponding abdominal ultrasound study. (A) Imperforate hymen (slight bulging is present). (B) Ultrasound view illustrating the bladder (Bl.) and the dilated, fluid-filled uterus (Ut.) (hydrometrocolpos). (Color version available online.) Urology  , DOI: ( /j.urology ) Copyright © 2017 Elsevier Inc. Terms and Conditions

4 Figure 3 MRI study. (A) MRI (sagittal T2 weighted) demonstrated features of hydrometrocolpos associated with low signal in the anatomic area of the vagina suggestive of an imperforate hymen. No obvious communication between the bladder and the uterus was observed. (B) MRI (axial T2 weighted) demonstrated that the bladder was anteriorly displaced and separated from the uterus; there is a plane of separation between the 2 structures. (C) MRI (coronal T2 weighted) demonstrated features of hydrometrocolpos associated with low signal in the anatomic area of the vagina suggestive of an imperforate hymen. MRI, magnetic resonance imaging. Urology  , DOI: ( /j.urology ) Copyright © 2017 Elsevier Inc. Terms and Conditions


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