Caudal Regression Syndrome and Maternal Diabetes Mellitus
Abstract
A 32 – years – old primigravida (GA 32+6 wks. by U/S in Tapanhin Crown Prince Hospital, 35+4 wks. by dates) had past medical history of Diabetes Mellitus (DM) since 2006 but no history of treament before. She had the first visit antenatal care at 18+4 wks by U/S in hospitals at Nakhon Ratchasima Province. Results of oral glucose tolerance test (OGTT) was Gestational DMA2(GDMA2) but she had history DM before pregnancy. Final diagnosis was Pregestational DM with Thalassemia carrier. A sonogram revealed normal, no anomalies at 18+4wks. Her past medical treament had not successful because of poor control of blood glucose and loss follow up. A 2700 – grams, Near –term male infant was born by spontaneous vaginal delivery in Tapanhin Crown Prince Hospital. Apgar score was 9 at 1 minute and 10 at 5 minutes. No intrapartum and postpartum complications. The infant had his lower limbs showed muscle atrophy and shortening , talipes equinovarus Lt foot. There was fixed flexion and adduction of hips, and fixed extension of the knees. The anus was in the posterior with diminished tone and dribbing of urine. These anomalies was Caudal Regression Syndrome. There was undescended Lt testis and fracture Lt femur. Long term treatment is difficult, multidisciplinary, and largely supportive in long term management.Downloads
Published
2020-05-28
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Section
Case Report