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Diphallus with ectopic bowel segment: a case report.

Shivam Priyadarshi¹

¹Department of Urology, S.M.S. Medical College Hospital, C-80, Gole Market, Jawahar Nagar, Jaipur 302004, India. dr_shivam@hotmail.com

Pediatric Surgery International

|June 21, 2005

Summary

This case report details a rare congenital anomaly in a 1-year-old boy with complete penile duplication (diphallus) and an unusual ectopic bowel segment. The findings highlight the diverse spectrum of associated genitourinary malformations.

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Area of Science:

Urology
Pediatric Surgery
Medical Genetics

Background:

Diphallus, or complete penile duplication, is a rare congenital anomaly.
Associated anomalies are common, often involving the bladder, kidneys, and anus.
Literature review reveals a wide range of associated defects, but no prior reports of ectopic bowel segments.

Observation:

A 1-year-old boy presented with complete penile duplication (diphallus).
He had duplicated epispadiac urethras, with one ending blindly and the other patent to the bladder.
Additional anomalies included separation of the symphysis pubis and a bifid scrotum.

Findings:

The patient exhibited diphallus with duplicated epispadiac urethras and a bifid scrotum.
A unique finding was an ectopic bowel segment associated with the penile duplication.
No other congenital anomalies were identified during investigations.

Implications:

This case expands the known spectrum of anomalies associated with diphallus.
The presence of an ectopic bowel segment represents an extremely rare finding.
Further research into the embryological basis of such complex genitourinary malformations is warranted.