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CASE REPORT
Year : 2004  |  Volume : 20  |  Issue : 2  |  Page : 52-53
 

Duplicate exstrophy of bladder with squamous cell carcinoma : A case report


Chennai, India

Correspondence Address:
C Anand
C/o Dr.M.G.Rajamanickam, M.Ch., Urology, 7, Anandan Street, T.Nagar, Chennai 600 017
India
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Source of Support: None, Conflict of Interest: None


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Keywords: Bladder exstrophy, duplicate exstrophy, malignancy


How to cite this article:
Anand C, Sudhakar L, Jayaganesh R, Iiangovan M, Rajamanickam M G. Duplicate exstrophy of bladder with squamous cell carcinoma : A case report. Indian J Urol 2004;20:52-3

How to cite this URL:
Anand C, Sudhakar L, Jayaganesh R, Iiangovan M, Rajamanickam M G. Duplicate exstrophy of bladder with squamous cell carcinoma : A case report. Indian J Urol [serial online] 2004 [cited 2019 Jun 26];20:52-3. Available from: http://www.indianjurol.com/text.asp?2004/20/2/52/37169



   Case Report Top


Forty five year old male presented with supra pubic ulceroproliferative lesion of two months duration. He gave history of having a reddish patch in the same site since birth. Voiding was normal. Clinical examination revealed a supra pubic reddish patch with an ulcerproliferative lesion (2x1cm) at one edge. He also had divarication of recti, low lying umbilical hernia, short phallus and glandular epispaclias [Figure - 2]a

Abdominal roentgenography revealed pubic diastasis [Figure - 1]a Kidneys and bladder were normal in CT scan. The supra pubic mass was limited to parietal wall without evidence of deeper invasion or nodal metastasis [Figure - 1]b. Cystoscopy confirmed normal inner bladder.

Biopsy was taken from the mass and adjacent lesion which was reported as Grade I squamous cell carcinoma and squamous metaplasia of transitional epithelium respectively [Figure - 2]b. Wide excision with preservation of bladder was done and the resultant defect was closed with Limberg's rotation flap from groin. In one year follow-up, patient had no recurrence.


   Comments Top


Duplicate exstrophy is a rare minor variant of the exstrophy epispadias complex in which there are remnants of bladder elements outside at the lower abdominal wall surface and together with this ectopic tissue, there is a closed normal bladder inside the pelvic cavity [1],[2] .

Usually patients present in the pediatric age group and treatment in the form of excision of bladder mucosal plate is gratifying [3] .

The finding of duplicate exstrophy in an adult with squamous malignancy is unique and hitherto not reported.

 
   References Top

1.Arap S, Giron AM. Duplicated exstrophy - Report of three cases. Eur. Urol. 1986; 12:451-4.  Back to cited text no. 1    
2.Gearhart JR Exstrophy, Epispadias and other bladder anomalies. In Walsh PC, Retik AB, Vaughan ED, Wein AJ. eds, Campbell's Urology 8th edi. Vol III, Chap. 61. Philadelphia:Saunders 2002;2136-96.  Back to cited text no. 2    
3.Mathur P, Panwar RS, Kumari K, Khamesra HL. True duplicate bladder exstrophy a case report. Paediat. Surg. Int. 2002;18:204-5.  Back to cited text no. 3    


    Figures

  [Figure - 1], [Figure - 2]



 

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