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Published on: October 12, 2017
Congenital prepubic urachal-cutaneous fistula
Miroslav Vukadin1, Djorde Savic1, Maja Milickovic1
1Institute for Mother and Child Health Care, New Belgrade, Serbia.
Insights
Congenital prepubic fistula, a rare anomaly, presents as a pubic opening. Surgical treatment of this dorsal urethral anomaly in a neonate was successful, leading to uncomplicated healing.
Area of Science:
- Urology
- Pediatric Surgery
- Medical Genetics
Background:
- Congenital prepubic fistula is an exceptionally rare congenital anomaly.
- It typically presents as a small opening in the pubic midline.
- The etiology is considered complex, possibly related to dorsal urethral duplication.
Purpose of the Study:
- To report a case of congenital prepubic fistula in a neonate.
- To describe the clinical presentation and successful surgical management.
- To contribute to the understanding of this rare condition.
Main Methods:
- Case report of a 2-month-old female neonate.
- Clinical examination revealing a punctiform opening with purulent discharge.
- Surgical excision of the fistula.
Main Results:
- The neonate presented with a congenital prepubic fistula.
- Purulent secretion was noted upon pressure.
- Surgical treatment resulted in a successful outcome.
- The infant experienced an uneventful postoperative recovery.
Conclusions:
- Congenital prepubic fistula requires surgical intervention for resolution.
- Early diagnosis and surgical treatment lead to favorable outcomes.
- This case highlights the successful management of a rare congenital anomaly.
Abstract:
Congenital prepubic fistula is a very rare congenital anomaly that manifests as a punctiform opening in the midline of the pubic region. According to Campbell, congenital prepubic fistulae are duplicates of the dorsal urethra. Recent investigations have shown that this problem may have a complex etiology. We report a case of a congenital prepubic fistula in 2-month old female neonate, which manifested as a simple punctiform opening in the pubic region, with purulent secretion that resulted from applying pressure to the region. The surgical treatment was successful, and the infant had an uneventful postoperative course of healing.
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