Oeis Complex: a rare Case Report

  • Dr Sowmya M Consultant, Obstetric & Gynecology, Sri Shivarathri Rajendra Hospital, Chamrajnagar, Karnataka, India
  • Dr Shwetha Shashidhar Consultant, Obstetric & Gynecology, Sri Shivarathri Rajendra Hospital, Chamrajnagar, Karnataka, India
Keywords: Omphalocele, Exstrophy of cloaca, Imperforate anus

Abstract

We describe a case of OEIS complex [Omphalocele-Exstrophy of the Bladder-anal imperforation-spina bifida] a rare congenital malformation complex. It results from improper closure of ventral abdominal wall due to failure of convergence of cephalo-caudal and lateral foldings of embryo during development, with asociated defects in development of cloaca and urorectal septum. A second gravida, with previous normal obstetric history of 35 wks of gestation spontaneously delivered a live pre term baby with gross malformations of a large omphalocele containing kidney,liver and intestines, bladder exstrophy, anal imperforation and spina bifida. Patients with OEIS complex require the care of a multidisciplinary team with multiple surgeries with its own potential complications. Hence, early antenatal diagnosis and evaluation provides prognostic information, treatment options, decisions concerning the management and the plan for specific needs at birth.

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References

1. Carey JC, Greenbaum B, Hall BD. The OEIS complex (omphalocele, exstrophy, imperforate anus, spinal defects) Birth Defects Orig Artic Ser. 1978;14:253–263. [PubMed]

2. Hurwitz RS, Manzoni GA, Ransley PG, Stephens FD, Cloacal exstrophy: a report of 34 cases. J Urol. 1987 Oct; 138(4 Pt 2):1060-4. [PubMed]

3. Bohring, A. (2002), OEIS complex, VATER, and the ongoing difficulties in terminology and delineation. Am. J. Med. Genet., 107: 72–76. doi: 10.1002/ajmg.10084. [PubMed]

4. Kallen, K., Castilla, E. E., Robert, E., Mastroiacovo, P., Kallen, B. OEIS complex--a population study. Am. J. Med. Genet. 92: 62-68, 2000.

5. Keppler-Noreuil KM. OEIS complex (omphalocele-exstrophy-imperforate anus spinal defects): a review of 14 cases. Am J Med Genet. 2001;99:271–279. doi: 10.1002/1096-8628(2001)9999:9999<00::AID-AJMG1094>3.0.CO;2-#. [PubMed]

6. Yuvaraj Bhosale, Lakshmi Rajagopal,Y.S.nandanwar. Omphalocele,Exstrophy of cloaca,Imperforate anus and spinal defects (OEIS Complex): A case report and review of literature. J.Anat.Soc 207;56(1):41-3. [PubMed]

7. Martinez-Frias ML, Bermejo E, Rodriguez-Pinilla E, Frias JL. Exstrophy of the cloaca and exstrophy of the bladder: two different expressions of a primary developmental field defect. Am J Med Genet. 2001;99:261–269. doi: 10.1002/ajmg.1210. [PubMed]

8. El-Hattab AW, Skorupski JC, Hsieh MH, Breman AM, Patel A, Cheung SW, Craigen WJ. 2009. OEIS complex associated with chromosome 1p36 deletion: A case report and review. Am J Med Genet Part A 152A:504–511. [PubMed]

9. Shanske AL, Pande S, Aref K, Vega-Rich C, Brion L, Reznik S, Timor-Tritsch IE. Omphalocele-exstrophy-imperforate anus spinal defects (OEIS) in triplet pregnancy after IVF and CVS. BirthDefects Res Part A Clin Mol Teratol. 2003;67:467–471. doi: 10.1002/bdra.10058. [PubMed]

10. Keppler-Noreuil KM, Gorton S, Foo F, Yankowitz J, Keegan C. Prenatal ascertainment of OEIS complex/cloacal exstrophy - 15 new cases and literature review. Am J Med Genet A. 2007;143A:2122–2128. doi: 10.1002/ajmg.a.31897. [PubMed]

11. Vijay Kumar Kundal, Deepak Agarwal, Mufique Gajdhar, Leela Dhar Agarwal, Raksha Kundal, Pramilla Sharma, Atul Meena-A Rare Case of Oeis Complex. JCR 2013;3(2): 313-316. [PubMed]

12. Mandrekar SR, Amoncar S, Banaulikar S, Sawant V, Pinto R. Omphalocele, exstrophy of cloaca, imperforate anus and spinal defect (OEIS Complex) with overlapping features of body stalk anomaly (limb body wall complex). Indian J Hum Genet 2014;20:195-8. [PubMed]

13. OEIS complex: prenatal ultrasound and autopsy findings.Ultrasound Obstet Gynecol. 2007 Feb ;29(2):170-177. [PubMed]

14. Cromie WJ, Lee K, Houde K, Holmes L. Implications of prenatal ultrasound screening in the incidence of major genitourinary malformations. J Urol. 2001;165:1677–80. doi: 10.1016/S0022-5347(05)66391-4.

15. Austin PF, Homsy YL, Gearhart JP, Porter K, Guidi C, Madsen K, Maizels M. Prenatal diagnosis of cloacal exstrophy. J Urol. 1998;160:1179–1181. doi: 10.1016/S0022-5347(01)62733-2.
CITATION
DOI: 10.17511/ijmrr.2014.i06.19
Published: 2014-12-31
How to Cite
1.
M S, Shashidhar S. Oeis Complex: a rare Case Report. Int J Med Res Rev [Internet]. 2014Dec.31 [cited 2024Dec.23];2(6):618-20. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/168
Section
Case Report