Urinary bladder exstrophy in a 21-year old female

ABSTRACT

A case of a 21-year-old female admitted for a hypogastric mass and inability to control her urination since childhood. Physical examination revealed an 8 x 7 cm reddish mass at the hypogastric area with intermittent jet of urine coming out from the inferolateral aspects of the mass. Diagnosis was urinary bladder exstrophy. Intravenous pyelography showed an outpouching mass at the anterior aspect of the pelvis with widening of the symphysis pubis and excretion of contrast medium into both upper urinary tracts but non-filling of contrast medium within the urinary bladder consistent with bladder exstrophy. Cystectomy performed with urinary diversion using the Mainz pouch with an appendiceal stoma and coverage of the abdominal defect with tensor fascia lata myocutaneous flap and rectus femoris muscle flap. On follow-up, patient was continent. (Author)