ESPU Congress 2018 - Abstract Book

32 29 th 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.