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Classic Bladder Exstrophy Lately Treated: A Case Report

Published in Reports (Volume 2, Issue 1)
Received: 5 February 2021     Accepted: 15 February 2021     Published: 28 February 2022
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Abstract

The exstrophy of the bladder is a serious congenital malformation characterized by a defect in the closure of the inferior abdominal wall, the anterior wall of the bladder, often associated with an abnormality of the urethra, pelvic girdle, external genitalia and of the perineum. While the diagnosis of this malformation is generally made in the antenatal period and is based on a failure to visualize the bladder on morphological ultrasound in the second trimester, in some patients the diagnosis is either made in the early postnatal period or in adulthood. In African societies, the birth of a malformed child is experienced as a real tragedy, taking into account the mystical-religious considerations that surround it on the one hand and the weight it constitutes for families on the other. We report our experience about a case of the bladder exstrophy diagnosed and treated late in a 12-year-old child at university clinics of Lubumbashi in Democratic Republic of the Congo.

Published in Reports (Volume 2, Issue 1)
DOI 10.11648/j.reports.20220201.13
Page(s) 17-21
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Case Report, Congenital Malformations, Bladder Exstrophy, Epispadias, Urology

References
[1] William Appeadu-Mensah, Piet Hoebeke, CHAPTER 92 Bladder Exstrophy and Epispadias, in Paediatric Surgery: A Comprehensive Text for Africa, Emmanuel A. Ameh, Stephen W. Bickler, Kokila Lakhoo, Benedict C. Nwomeh, Dan Poenaru, Volume 2, www.global-help.org.
[2] Gearhart JP. The exstrophy-epispadias complex in the new millennium--science. Practice and policy. J Urol. 1999; 162: 1421–1423.
[3] Dana A. Weiss, Douglas A. Canning, Joseph G. Borer, John V. Kryger, Elizabeth Roth, And Michael E. Mitchell Bladder and Cloacal Exstrophy, in Holcomb and Ashcraft’s Pediatric Surgery, George W. Holcomb III & al., 7th Ed., Elsevier, 2020.
[4] Anne-Karoline Ebert, Heiko Reutter, Michael Ludwig and Wolfgang H Rösch, The Exstrophy-epispadias complex, Orphanet Journal of Rare Diseases 2009, 4: 23 doi: 10.1186/1750-1172-4-23.
[5] Promm M and Roesch WH (2018) Recent trends in the management of bladder exstrophy: The Gordian knot has not yet been cut. Front. Pediatr. 7: 110). doi: 10.3389/fped.2019.00110.
[6] Michel Tshimbayi, Danny Ndua, Costa Kazadi, Laurent Shamashanga Kwete, Marcellin Bugeme, Patrick Kiopine Mubinda, Olivier Mukuku, Exstrophie vésicale: à propos d’un cas diagnostiqué tardivement, Pan African Medical Journal. 2014; 17: 172 doi: 10.11604/pamj.2014.17.172.3031.
[7] C. Furtos, G. Chene, M.-N. Varlet, F. Varlet, P. Seffert, C. Chauleur, Diagnostic anténatal et prise en charge des extrophies vésicales isolées, Gynécologie Obstétrique & Fertilité 38 (2010) 624–630 doi: 10.1016/j.gyobfe.2010.08.027.
[8] Caleb P. Nelson, Rodney L. Dunn And John T. Wei, Contemporary Epidemiology Of Bladder Exstrophy In The United States, The Journal Of Urology, Vol. 173, 1728–1731, May 2005 by American Urological Association DOI: 10.1097/01.ju.0000154821.21521.9b.
[9] Peter P. Stuhldreher And John P. Gearhart, Chapter 80: Bladder exstrophy: Considerations and management of the newborn patient, in Newborn Surgery, Fourth Edition, Edited by Prem Puri, 2018 by Taylor & Francis Group.
[10] Bharati Kulkarni & Navin Chaudari, Embryogenesis of bladder exstrophy: a new hypothesis, J Indian Assoc Pediatr Surg / Apr-Jun 2008 / Vol 13 / Issue 2.
[11] Michael R. Mallmann, Birte Mack Detlefsen, Heiko Reutter, Rebecca Pohle, Ingo Gottschalk, Annegret Geipel, Christoph Berg, Thomas M. Boemers, Ulrich Gembruch, Isolated bladder exstrophy in prenatal diagnosis, Archives of Gynecology and Obstetrics https://doi.org/10.1007/s00404-019-05193-x.
[12] Lynn L. Woo, John C. Thomas, and John W. Brock III, Bladder and Cloacal Exstrophy, in Coran A. G., Adzick N. S., Krummel T. M., Laberge J-M., Shamberger R. C. & Caldamone A. A., Pediatric Surgery, 7th edition, Volume 1, Elsevier Saunders, 2012, pp. 973. ISBN 978-0-323-07255-7.
[13] Benz KS, Dunn E, Solaiyappan M, Maruf M, Kasprenski M, Jayman J, Michaud JE, Facciola J, DiCarlo H, Gearhart JP. Novel Observations of Female Genital Anatomy in Classic Bladder Exstrophy Using 3-Dimensional Magnetic Resonance Imaging Reconstruction. J Urol (2018) 200 (4): 882-889.
[14] Mushtaq I, Gariboli M, Smeulders N, Cherian A, Desai D, Eaton S, Duffy P, Cuckow P. Primary bladder exstrophy closure in neonates: challenging the traditions. J Urol (2014) 191 (1): 193–198.
[15] Ebert AK, Reutter H, Ludwig M, Rösch WH. The exstrophy – epispadias complex. Orphanet J Rare Dis (2009) 4. DOI: 10.1186/1750-1172-4-23. www.ojrd.com.
[16] Castagnetti M, Gigante C, Perrone G, Rigamonti W. Comparison of musculoskeletal and urological functional outcomes in patients with bladder exstrophy undergoing repair with and without osteotomy. Pediatr Surg Int (2008) 24 (6) 689–693.
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  • APA Style

    Dimitri Kanyanda Nafatalewa, Augustin Kibonge Mukakala, Igor Mujinga Wa Mujinga, Serge Ngoy Yumba, Eric Mbuya Musapudi, et al. (2022). Classic Bladder Exstrophy Lately Treated: A Case Report. Reports, 2(1), 17-21. https://doi.org/10.11648/j.reports.20220201.13

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    ACS Style

    Dimitri Kanyanda Nafatalewa; Augustin Kibonge Mukakala; Igor Mujinga Wa Mujinga; Serge Ngoy Yumba; Eric Mbuya Musapudi, et al. Classic Bladder Exstrophy Lately Treated: A Case Report. Reports. 2022, 2(1), 17-21. doi: 10.11648/j.reports.20220201.13

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    AMA Style

    Dimitri Kanyanda Nafatalewa, Augustin Kibonge Mukakala, Igor Mujinga Wa Mujinga, Serge Ngoy Yumba, Eric Mbuya Musapudi, et al. Classic Bladder Exstrophy Lately Treated: A Case Report. Reports. 2022;2(1):17-21. doi: 10.11648/j.reports.20220201.13

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  • @article{10.11648/j.reports.20220201.13,
      author = {Dimitri Kanyanda Nafatalewa and Augustin Kibonge Mukakala and Igor Mujinga Wa Mujinga and Serge Ngoy Yumba and Eric Mbuya Musapudi and Vincent-de-Paul Kaoma Cabala and Prince Muteba katambwa and Jeff Bukasa Misenga and Pitchou Mbey Mukaz},
      title = {Classic Bladder Exstrophy Lately Treated: A Case Report},
      journal = {Reports},
      volume = {2},
      number = {1},
      pages = {17-21},
      doi = {10.11648/j.reports.20220201.13},
      url = {https://doi.org/10.11648/j.reports.20220201.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.reports.20220201.13},
      abstract = {The exstrophy of the bladder is a serious congenital malformation characterized by a defect in the closure of the inferior abdominal wall, the anterior wall of the bladder, often associated with an abnormality of the urethra, pelvic girdle, external genitalia and of the perineum. While the diagnosis of this malformation is generally made in the antenatal period and is based on a failure to visualize the bladder on morphological ultrasound in the second trimester, in some patients the diagnosis is either made in the early postnatal period or in adulthood. In African societies, the birth of a malformed child is experienced as a real tragedy, taking into account the mystical-religious considerations that surround it on the one hand and the weight it constitutes for families on the other. We report our experience about a case of the bladder exstrophy diagnosed and treated late in a 12-year-old child at university clinics of Lubumbashi in Democratic Republic of the Congo.},
     year = {2022}
    }
    

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    AB  - The exstrophy of the bladder is a serious congenital malformation characterized by a defect in the closure of the inferior abdominal wall, the anterior wall of the bladder, often associated with an abnormality of the urethra, pelvic girdle, external genitalia and of the perineum. While the diagnosis of this malformation is generally made in the antenatal period and is based on a failure to visualize the bladder on morphological ultrasound in the second trimester, in some patients the diagnosis is either made in the early postnatal period or in adulthood. In African societies, the birth of a malformed child is experienced as a real tragedy, taking into account the mystical-religious considerations that surround it on the one hand and the weight it constitutes for families on the other. We report our experience about a case of the bladder exstrophy diagnosed and treated late in a 12-year-old child at university clinics of Lubumbashi in Democratic Republic of the Congo.
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Author Information
  • Department of Surgery, University Clinics of Lubumbashi, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Surgery, University Clinics of Lubumbashi, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Surgery, University Clinics of Lubumbashi, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Surgery, University Clinics of Lubumbashi, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Surgery, University Clinics of Lubumbashi, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Surgery, University Clinics of Lubumbashi, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Surgery, University Clinics of Lubumbashi, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Surgery, University Clinics of Lubumbashi, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Surgery, University Clinics of Lubumbashi, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

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