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Journal of Case Reports
A Rare Case of Oeis Complex
Vijay Kumar Kundal, Deepak Agarwal, Mufique Gajdhar, Leela Dhar Agarwal, Raksha Kundal1, Pramilla Sharma, Atul Meena
From the Department of Paediatric Surgery and Department of Anaesthesia1, S.M.S. Medical College & associated SPMCHI, Jaipur-302004, India.
Corresponding Author:
Dr. Vijay Kumar Kundal
Email: vijayraksha@yahoo.com
Received: 20 JULY 2013 Accepted: 11-AUG-2013 Published Online: 10-SEP-2013
DOI: http://dx.doi.org/10.17659/01.2013.0073
Abstract
OEIS complex is a rare and complex anomaly of the genitourinary and intestinal tract.  It includes Omphalocele, Exstrophy of cloaca, Imperforate anus and Spinal defects. Cloacal exstrophy is considered the most severe ventral abdominal wall defect. The defect occurs due to failure of convergence of mesodermal migrations and inability of development of urorectal septum during embryonic life. The failure of these two events to occur manifests as exstrophy of bladder and bowel. Diagnosis is primarily based on the presenting features. Management requires initial resuscitation and stabilization followed by either single staged closure or multi-stage procedures by multi-disciplinary surgical team. We are reporting a case of classical case of OEIS complex managed successfully at our center.
Keywords : Urogenital Abnormalities, Cloaca, Imperforate anus, Bladder Exstrophy, Hernia.
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