ABSTRACT
A male infant born at 32 weeks of gestation and weighing 1.44 kg had penile agenesis, bifid scrotums, an anorectal anomaly, and suspected omphalocele. An operation revealed complete urethral agenesis, duplicated and blind bowels, a vesicointestinal fistula without exstrophy, and a urachal fistula; however, no omphaloceles were detected. To our knowledge, this is the first report on aphallia accompanied with completely separated scrotum and a vesicointestinal fistula without exstrophy; this condition is associated with urorectal septum malformation sequence (URSMS) and covered cloacal exstrophy. The possible embryogenesis is discussed in this study.
Subject(s)
Abnormalities, Multiple/embryology , Intestinal Fistula/embryology , Penis/abnormalities , Scrotum/abnormalities , Urinary Bladder Fistula/embryology , Abnormalities, Multiple/diagnosis , Humans , Infant, Newborn , Intestinal Fistula/diagnosis , Male , Penis/embryology , Scrotum/embryology , Urinary Bladder Fistula/diagnosisABSTRACT
Variations in the anatomic defects of the bladder exstrophy are well recognized, but their incidence is extremely low. Here the authors describe a rare case of superior vesical fissure in which a relatively large defect caused the whole bladder to prolapse outside. A review of literature found only 2 other cases that resembled our case. This particular variation of exstrophy is not only important owing to its extreme rarity but also raises a question for an embryologic explanation.
Subject(s)
Bladder Exstrophy , Urinary Bladder Fistula , Bladder Exstrophy/embryology , Humans , Infant, Newborn , Male , Penis/embryology , Urinary Bladder Fistula/embryologyABSTRACT
We report the fifth case of congenital prepubic sinus that goes from the anterior wall of the bladder through the public symphysis to the skin. The various embryological theories that could be responsible for this pathology are discussed, and according to us, it seems to be a variant of dorsal urethral duplication.
