First-trimester sonographic diagnosis of distal urethral atresia with megalourethra in VACTERL association

Congenital megalourethra is a rare disorder, We present all earls case diagnosed in the first trimester. Prenatal ultrasound showed a megalourethra with it normal fetal bladder. hyperechogenic cystic right kidney and sin-le umbilical artery. After termination of pregnancy, necropsy confirmed all sonographic findings and revealed other malformations (spina bifida occulta. anal atresia, tracheo-oesophageal fistula. brachydactylia) resulting in the diagnosis of VACTERL association, The prenatal diagnostician Should seek histological examination firstly to confirm his findings and secondly to avoid missing associations and inherited malformations. Copyright (C) 2002 John Wiley Sons. Ltd.