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[Large bladder diverticulum or double bladder--diagnosis and differential diagnosis]
Klinische Padiatrie
|July 1, 1987
Insights
A 13-year-old boy with Down syndrome (trisomy 21) experienced recurrent urinary tract infections. Investigations revealed a large bladder diverticulum, not a duplication, with an unusual ureteral opening location.
Area of Science:
- Pediatric Urology
- Medical Genetics
Background:
- Recurrent urinary tract infections (UTIs) can be a significant concern in children.
- Down syndrome (trisomy 21) is associated with various congenital anomalies, including genitourinary abnormalities.
Observation:
- A 13-year-old male with trisomy 21 presented with recurrent UTIs.
- Initial imaging suggested a bladder duplication with separate ureteral openings.
Findings:
- Surgical and histological examination confirmed a large bladder diverticulum, not a duplication.
- The right ureteral orifice was found within the wall of this diverticulum.
Implications:
- This case highlights the importance of detailed surgical and histological evaluation to differentiate complex congenital bladder anomalies.
- Accurate diagnosis is crucial for appropriate management of UTIs in pediatric patients with trisomy 21.
- Unusual ureteral orifice location within a diverticulum can complicate UTI treatment and management.
Abstract:
We report a case of a 13 year old boy with trisomy 21 syndrome who presented with recurrent urinary tract infections. A duplication of the urinary bladder was diagnosed by echography and x-ray examination with each portion of the duplicated bladder having its own uretral opening: Surgery and histology showed however the lesion to be a large diverticulum of the urinary bladder with the right uretral orifice being located in the wall of the diverticulum.