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CONGRESS OF THE ESPU
14:42–14:44
S2-12 (CP)
A CASE REPORT OF DUPLICATE EXSTROPHY
OF THE BLADDER
Bilge KARABULUT
1
, Ayse Selcen OGUZ ERDOGAN
2
, Dogus GUNEY
3
,
Halil TOSUN
1
, Hasan DELIAGA
1
and H. Tugrul TIRYAKI
1
1) University of Health Sciences, Ankara Child Health and Diseases Hematology Oncology Training and Re, Pediatric
urology, Ankara, TURKEY - 2) University of Health Sciences, Ankara Child Health and Diseases Hematology Oncology
Training and Re, Pathology, Ankara, TURKEY - 3) University of Health Sciences, Ankara Child Health and Diseases
Hematology Oncology Training and Re, Pediatric surgery, Ankara, TURKEY
PURPOSE
Duplicate exstrophy of the bladder represents a very rare variation of exstrophic malformation an
has two variants: with and without communication between outer exstrophic component and inner
urinary tract. We present a case of duplicate exstrophy of bladder with exstrophic metaplasic blad-
der plate and epispadias which fits into noncomminicating varinat.
MATERIAL AND METHODS
A 1.5 month old boy with pubic diastasis, penopubic epispadias, low set umbilicus, divergent rectus
abdominus muscle and an abdominal hernia inferior to umbilicus was introduced. There was a hy-
popigmented circulear area 3 cm in diameter in lower half of the bulging skin area of hernia. Both
testes were in normal scrotal position. Abdominal ultrasound revealed bilateral normal kidneys and
an intact pelvic bladder. The patient underwent cystoscopy, abdominoplasty and epispadias repair.
No cominication exist between inner normal bladder and outer hypopigmented plate.
The histopathologic examination of the hypopigmented area showed metaplasic bladder mucosa.
RESULTS
Although the initial presentation of our exstrophy variant patient was confusing there was no need
for major operation as in classic exstrophy and at first month check cosmetic result was satisfactory.
CONCLUSIONS
Duplicate exstrophy of the bladder is a very rare variation of exstrophic malformation and the diag-
nosis is even more difficult when no cominication exist between inner normal urinary tract and outer
metaplasic dry exstrophic component.
14:44–14:46
S2-13 (CP)
WILMS' TUMOUR RELAPSE: ITS NEVER TOO LATE
Bashir AHMED
1
, Sadaf ABA UMER KODWAVWALA
1
, Sajid SULTAN
1
,
Muhammad MUBARAK
2
, Shamvil ASHRAF
1
, Philip G RANSLEY
1
and
Adeeb Ul Hasan RIZVI
1
1) Sindh Institute of Urology & Transplantation, Philip G. Ransley Department of Paediatric Urology, Karachi, PAKISTAN
- 2) Sindh Institute of Urology & Transplantation, Department of Pathology, Karachi, PAKISTAN
PURPOSE
To present an unusual case of wilms’ tumour relapse.
MATERIAL AND METHODS
A 10 years old girl, case of left renal wilms’ tumour stage 1, blastemal type, managed by SIOP
protocol with tumour nephrectomy and remained off treatment, disease free for almost 5 years.