Posterior urethral valve and anterior rectal duplication: a new combination.
| Autor: | Bhandarkar KP; Paediatric Surgery, Evelina London Children's Healthcare, London, UK., Bouhadiba N; Paediatric Surgery, Guy's and St Thomas Hospital, London, UK., Garriboli M; Paediatric Urology, Evelina London Children's Healthcare, London, UK. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2019 Jul 23; Vol. 12 (7). Date of Electronic Publication: 2019 Jul 23. |
| DOI: | 10.1136/bcr-2019-229648 |
| Abstrakt: | We present a rare case of association of anterior rectal duplication and posterior urethral valve (PUV). A term neonate with no antenatal concerns was admitted with urosepsis and acute renal injury at 18 days of age. History revealed a poor urinary stream and dribbling. After resuscitation and stabilisation, renal tract ultrasound and micturating cysto-urethrogram were performed. Cystourethroscopy showed PUV and a mass indenting the bladder posteriorly. MRI confirmed the presence of a cystic lesion anterior to the rectum suspicious of rectal duplication. Laparoscopic-assisted excision of the anterior rectal duplication cyst was then performed. The infant recovered uneventfully. Creatinine normalised postoperatively and has been stable at follow-up. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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