Abstract
A 4-year-old boy presented with a mucous membrane in the suprapubic region, a low-set umbilicus, and the typical musculoskeletal deformity seen in classic bladder exstrophy. The penis had a thin, rudimentary urethral plate on its dorsal surface. The main urethra was orthotopic and normal in size. Micturition was undisturbed and the child was continent of urine. Excision of the lesion and reconstruction of the suprapubic area with bilateral rhomboid skin flaps was curative. Pathologic examination of the removed specimen revealed transitional-cell epithelium and a tubular structure with an epithelial-cell lining resembling a deferential duct.
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References
Ellis DG (1971) Duplicate exstrophy of the bladder. J Urol 106: 295–297
Gross RE, Cressen SL (1952) Exstrophy of the bladder; observations from 80 cases. JAMA 149: 1640–1644
Johnston JH (1982) The exstrophic anomalies. In: Paediatric urology, 2nd edn. D. I. Wiliams, J. H. Johnston (eds) Chapter 25. Butterworth Scientific, London pp 299–316
Kittredge WE, Bradburn C (1954) Incomplete exstrophy of the bladder: case report. J Urol 72: 38–40
Kramer SA, Jackson IT (1986) Bilateral rhomboid flaps for reconstruction of the external genitalia in epispadias-exstrophy. Plast Rec Surg 77: 621–631
Marshall VF, Muecke EC (1962) Variations in exstrophy of the bladder. J Urol 88: 766–796
Mildenberger H, Kluth D, Dziuba M (1988) Embryology of bladder exstrophy. J Pediatr Surg 23: 166–170
Muecke EC (1964) The role of the cloacal membrane in exstrophy: the first successful experimental study. J Urol 92: 659–667
Patten BM, Barry A (1952) The genesis of exstrophy of the bladder and epispadias. Am J Anat 90: 35–57
Pineschi A, Chiella E (1982) Duplicate exstrophy of the bladder: a case report. Z Kinderchir 35: 35–37
Sharma SK, Kapoor R, Kumar A, Mandal AK (1987) Incomplete epispadiac urethral duplication with dorsal penile curvature. J Urol 138: 585–586
Turner WR, Ransley PG, Bloom DA, Williams DI (1980) Variants of the exstrophic complex. Urol Clin North Am 7: 493–501
Uson AC, Roberts MS (1958) Incomplete exstrophy of the urinary bladder: a report of two cases. J Urol 79: 57–62
Zivkovic SM (1977) Variations on the bladder exstrophy complex associated with large omphalocele. J Urol 118: 440–442
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Boemers, T.M.L., de Jong, T.P.V.M., Vegt, P.D.J. et al. Duplicate exstrophy. Pediatr Surg Int 10, 183–185 (1995). https://doi.org/10.1007/BF00171193
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DOI: https://doi.org/10.1007/BF00171193