Volume 27, Issue 132, February 2023

Bladder exstrophy with pubic symphysis diastasis in a male toddler: A case report

Rahul Agola¹, Tanvi Chaurasia^2♦

¹Junior Resident, Department of Orthopedics, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
²Junior Resident, Department of Obstetrics and Gynecology, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

^♦Corresponding author
Junior Resident, Department of Obstetrics and Gynecology, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Bladder exstrophy is a rare birth defect in which the anterior wall of the abdomen over the bladder does not close during the intrauterine period, leaving the child with an exposed bladder. Bladder exstrophy affects one out of every 50,000 births. Possible complaints include exposed bladder, incontinence or urine leakage, genital and pelvic bone defects, as well as intestine and reproductive organ defects. The majority of patients have their bladder exstrophy repaired as infants. If it is not addressed, as it was in this case, staged surgery will be required. A three-year-old male child with congenital bladder exstrophy was admitted to the Paediatric Surgeon's Outpatient Department in this case. Orthopaedic surgeons were consulted due to the pubic diastasis. At the age of three, an acetabulo-pelvic surgeon recommends using an external fixator on the pelvic wings to reduce tension on the reconstructed bladder wall and inter-pubic ligament. The patient was treated for undiagnosed bladder exstrophy. The reconstruction of the abdominal wall and urethra, as well as the use of an external fixator, was completed.

Keywords: Bladder exstrophy, External fixation in pelvic wings, stage wise surgery in neglected bladder exstrophy

Medical Science, 2023, 27, e77ms2805

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DOI: https://doi.org/10.54905/disssi/v27i132/e77ms2805

Published: 08 February 2023