Urethral obstruction from Cobb’s collar in association with VACTERL

Keywords: Cobb's collar, VACTERL association, posterior urethral valves, Moormann’s ring, COPUM

Abstract

Cobb’s collar is a rare intraluminal congenital cause of bulbar urethral obstruction that is commonly mislabelled congenital obstructive posterior urethral membrane (COPUM) but may be distinguished from this endoscopically as it has no connecting folds to the verumontanum. In this report, Cobb’s collar is described for the first time in association with the VACTERL syndrome. The abnormality was diagnosed and treated by diathermy and dilatation at the time of endoscopic evaluation, with improvement of vesicoureteric reflux on micturating cystourethrogram and renal ultrasound.

Author Biographies

S Irusen, University of the Witwatersrand

Division of Paediatric Nephrology, Department of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, South Africa

G Moonsamy, University of the Witwatersrand

Division of Paediatric Nephrology, Department of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, South Africa

P Dewan, Kind Cuts for Kids

Kind Cuts for Kids, Australia

A Adam, University of the Witwatersrand

Division of Urology, University of the Witwatersrand and Department of Urology, Charlotte Maxeke Johannesburg Academic and Helen Joseph and Rahima Moosa Mother and Child (Coronation) Cluster Hospitals and Wits Donald Gordon Medical Centre, South Africa

Published
2021-12-06
How to Cite
Irusen, S., Moonsamy, G., Dewan, P., & Adam, A. (2021). Urethral obstruction from Cobb’s collar in association with VACTERL. South African Journal of Surgery, 59(4), 196. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/3527
Issue
Vol 59 No 4 (2021)
Section
Case Reports

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