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Covered exstrophy: a rare variant

S S Borwankar1, L S Kasat, A Naregal

  • 1Department of Paediatric Surgery, K.E.M. Hospital, Parel, Bombay, India.

Pediatric Surgery International
|January 9, 1999
PubMed
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A rare case of covered exstrophy, a bladder variant, was treated in a 4-year-old female with urine dribbling. Management involved membrane excision and bladder closure, with further reconstruction planned.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Developmental Biology

Background:

  • Bladder exstrophy is a rare congenital anomaly.
  • Covered exstrophy is a rare variant, often presenting without bowel sequestration.
  • Understanding embryogenesis is crucial for managing bladder exstrophy variants.

Observation:

  • A 4-year-old female presented with symptoms of urinary dribbling.
  • The patient had a covered exstrophy without bowel segment sequestration.
  • Initial treatment included excision of the covering membrane and functional bladder closure.

Findings:

  • The case highlights a rare variant of bladder exstrophy.
  • Surgical management involved posterior iliac osteotomies.
  • Reconstruction of the bladder neck and genitalia is planned for a later stage.

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Implications:

  • This case contributes to the understanding of covered exstrophy management.
  • Early surgical intervention can improve functional outcomes.
  • Further research into embryogenesis may reveal new therapeutic targets for bladder exstrophy variants.