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Urinary Bladder

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...

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Duplicate bladder exstrophy in a female infant: A case report.

Yalda Obaidy¹, Ajmal Sherzad¹, Dunya Moghul^2,3

¹Department of Surgery, Ataturk Hospital, Kabul, Afghanistan.

Urology Case Reports

|February 6, 2025

Summary

This case study details a rare variant of bladder exstrophy in an infant. Surgical management focused on excising the exstrophic plaque for a successful outcome.

Keywords:

1. Duplicate bladder exstrophy 2. Congenital anomaly 3. Suprapubic exstrophic plaque 4. Surgical management 5. Pediatric urology

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Area of Science:

Pediatric Surgery
Urology
Developmental Biology

Background:

Bladder exstrophy-epispadias complex is a rare congenital condition.
Duplicate bladder exstrophy is an exceptionally rare variant requiring specific diagnostic and management strategies.

Observation:

A 5-month-old female infant presented with a lower abdominal mass.
Physical examination revealed characteristic features including a wide symphysis pubis and displaced genitalia.
Imaging studies excluded classic bladder exstrophy and vesicoureteral reflux.

Findings:

Surgical exploration confirmed a suprapubic exstrophic mucosal plaque lacking bladder communication.
Excision of the plaque and primary abdominal wall closure were performed.
Post-operative intravenous pyelogram showed normal findings.

Implications:

Accurate diagnosis of rare bladder exstrophy variants is crucial.
A tailored surgical approach is essential for optimal outcomes in these complex cases.
This case contributes to understanding the management of duplicate bladder exstrophy.