Simultaneous endoscopic management of urethral duplication and postposterior sagittal anorectoplasty urethral diverticulum in a boy with anorectal malformation
Autor: | Simmi K Ratan, Chiranjiv Kumar, Satish Kumar Aggarwal |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: | |
Zdroj: | Journal of Indian Association of Pediatric Surgeons, Vol 26, Iss 3, Pp 200-202 (2021) |
Druh dokumentu: | article |
ISSN: | 0971-9261 1998-3891 |
DOI: | 10.4103/jiaps.JIAPS_114_20 |
Popis: | We report a case of urethral duplication with high anorectal malformation (ARM). A 12-year-old boy who had undergone transverse colostomy on day 2 of life and posterior sagittal anorectoplasty (PSARP) for ARM (rectobulbar fistula) at 8 years and also had urinary dribbling from a midscrotal opening in addition to normal voiding, presented with recurrent urinary tract infections and dysuria. Midscrotal dribbling had continued postoperatively. Colostomy had been closed 3 months after PSARP. Investigations revealed a large urethral diverticulum at the site of rectourethral fistula due to a segment of the gut being left behind during fistula closure. In addition, he had a sagittal urethral duplication originating at bulbar urethra and opening externally at midscrotum. The highlight of this report is successful endoscopic management of both the urethral duplication and the diverticulum. |
Databáze: | Directory of Open Access Journals |
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