Presentation
We report the case of a sixteen-month-old boy who presented with diffuse ascites, and had complete colonic duplication and bladder duplication. [ncbi.nlm.nih.gov]
Entire Body System
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Collapse
At birth, we found severe ureterohydronephrosis in a solitary left kidney caused by the collapse of the left bladder when the right bladder was filled. We performed a neonatal puncture of the bladder septum. [ncbi.nlm.nih.gov]
Ultrasonogram of abdomen and later on a nonenhanced CT scan confirmed multiple areas of calcification in right kidney and there was evidence of severe infundibular stenosis and thinning of renal parenchyma and collapsed right ureter in continuation with [indianjurol.com]
Gastrointestinal
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Right Flank Pain
Patient presented with right flank pain and palpable mass. Computed tomography scan showed right renal hydronephrotic sac, two bladders with independent urethras, and uterus didelphys. [new.medigraphic.com]
He also suffered from right flank pain 5 years ago and was treated by indigenous medication for suspected stone disease. He had received various antibiotics for documented urinary tract infections over the last few months. [indianjurol.com]
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Right Upper Quadrant Pain
Case report A 55-year-old female came to the hospital with the chief complaint of recurrent right upper quadrant pain associated with fever since the past 6 months. Physical examination showed slight tenderness in the right upper quadrant. [jdrntruhs.org]
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Tenderness in the Right Upper Quadrant
Physical examination showed slight tenderness in the right upper quadrant. Laboratory values found elevated white blood cell count and C-reactive protein associated with mild elevation of total bilurubin, transaminases, and alkaline phosphatase. [jdrntruhs.org]
Urogenital
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Nocturnal Enuresis
enuresis 819 Chapter 55 Operations for the weak bladder outlet 841 current and future techniques 871 Chapter 57 Urinary diversion 911 Chapter 58 The Malone antegrade continence enema MACE 947 Chapter 59 Minimally invasive approaches to lower urinary [books.google.com]
Workup
Normal levels of FSH, TSH and prolactin were noted during the blood workup. Renal function test was normal. [ijcasereportsandimages.com]
Clinical Testing and Workup There are a variety of tests that can be used to diagnose MECP2 duplication syndrome including array comparative genomic hybridization (array-CGH). [rarediseases.org]
X-Ray
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Pneumoperitoneum
Pneumoperitoneum was achieved at a pressure of 12 mmHg. A 5-mm 45 degree camera was then inserted into the abdomen. The liver was retracted cephalad using an extracorporeal 'hitch' stitch through the falciform ligament. [afrjpaedsurg.org]
Treatment
The treatment was a right nephroureterectomy with upper bladder bag resection. [ncbi.nlm.nih.gov]
Treatment may consist in complex reconstruction of the genitourinary tract and aims to protect the upper urinary tract. Due to the rarity of the disease, treatment must be individualized. [urology-textbook.com]
[…] of Prostate Cancer 541 Treatment of Locally Advanced Prostate Cancer 542 Clinical State of the Rising PSA Value after Definitive Local Therapy 544 Hormone Therapy for Prostate Cancer 547 Treatment of CastrationResistant Prostate Cancer 551 Normal Development [books.google.com]
may vary by patient ( Urology 2000;55:578 ) Incomplete emptying may cause urinary tract infections, although most patients are asymptomatic Treatment In some cases, needed for infections or to achieve continence Clinical images Images hosted on other [pathologyoutlines.com]
Renal preservation and prevention of infections by relieving obstructed genitourinary tracts should be the aim of initial treatment. Further treatment should be reconstruction of the internal and external genitalia with an aim to achieve continence. [urologyannals.com]
Prognosis
Surgical correction is the treatment of choice in the majority of patients, providing good results and favorable prognosis. Key words: Bladder exstrophy, double bladder, treatment, Mexico. REFERENCIAS Esham W, Holt HA. [new.medigraphic.com]
The prognosis is good. Yearly renal ultrasound evaluation as clinically indicated is recommended to evaluate potential complications of urinary tract infections or urinary bladder calculus. Esham W, Holt HA. [appliedradiology.com]
The prognosis in terms of renal function is more of concern requiring long-term follow-ups. [4] An urodynamic study and a vesico cystourethrogram are recommended to eliminate the possibility of postclosure vesicoureteric reflux, especially in patients [jiaps.com]
Prognosis As long as damage to the kidneys from infection or back pressure has not become significant, the surgical repair of troublesome ureteral defects produces excellent long-term results in the great majority of cases. [healthofchildren.com]
Prognosis The prognoses for the various pediatric bladder anomalies are as follows: Bladder diverticula - Excellent Urachal sinus - Excellent Urachal cyst - Excellent Patent urachus - Excellent Vesicourachal diverticulum - Excellent Bladder ears - Excellent [emedicine.medscape.com]
Etiology
Epidemiology and Natural History 482 Evaluation and Nonsurgical Management of Benign Prostatic Hyperplasia 486 Minimally Invasive and Endoscopic Management of Benign Prostatic Hyperplasia 493 Retropubic and Suprapubic Open Prostatectomy 496 Epidemiology Etiology [books.google.com]
Definition / general Bladder is separated into complete or incomplete compartments, either in the sagittal or coronal plane Variants include double bladder, septal bladder and hourglass bladder Epidemiology Rare, Equal male:female ratio Etiology No single [pathologyoutlines.com]
Whether a common etiology exists for both these anomalies is unclear. [jneonatalsurg.com]
The etiology of bladder duplication, despite the hypotheses proposed by Abrahamson, [1] remains obscure. [saudisurgj.org]
Epidemiology
[…] and Natural History 482 Evaluation and Nonsurgical Management of Benign Prostatic Hyperplasia 486 Minimally Invasive and Endoscopic Management of Benign Prostatic Hyperplasia 493 Retropubic and Suprapubic Open Prostatectomy 496 Epidemiology Etiology [books.google.com]
Definition / general Bladder is separated into complete or incomplete compartments, either in the sagittal or coronal plane Variants include double bladder, septal bladder and hourglass bladder Epidemiology Rare, Equal male:female ratio Etiology No single [pathologyoutlines.com]
Epidemiology Bladder diverticula are uncommon but not rare. In a series of over 5000 children studied, the approximate incidence was 1.7%. All of the other entities are uncommon or rare. [emedicine.medscape.com]
Epidemiology Exact incidence is unknown. Approximately two-thirds of all intestinal duplications are discovered within the first two years of life. [surgery4children.com]
Pathophysiology
Cutaneous Continent Urinary Diversion 459 Orthotopic Urinary Diversion 465 Genital and Lower Urinary Tract Trauma 468 Lower Urinary Tract Calculi 471 Development Molecular Biology and Physiology of the Prostate 476 Benign Prostatic Hyperplasia Etiology Pathophysiology [books.google.com]
Pathophysiology [ edit ] Ureteral development begins in the human fetus around the 4th week of embryonic development. [en.wikipedia.org]
The pathophysiology is complex and aetiology unknown and majority of them being diagnosed in neonatal or in paediatric age group [1]. [casereports.in]
CrossRef PubMed Google Scholar Koff, S.A. (1990) Pathophysiology of ureteropelvic junction obstructions. Urol. Clin. North. Am. 17, 263–272. [link.springer.com]
A discussion of urachal anomalies (ie, urachal sinus, urachal cyst, urachal diverticulum, patent urachus) is also included. [1] Pathophysiology The timing of altered embryogenesis leading to bladder anomalies has been a matter of speculation, and the [emedicine.medscape.com]
Prevention
Retrospectively, after reviewing the literature on gall bladder duplications, we felt cholecystectomy should have been done to prevent future complications. [jneonatalsurg.com]
An accurate, preferably pre-operative diagnosis, identification and removal of all gall bladders during the laparoscopy are mandatory to prevent inadvertent damage to the biliary ductal system, possible overlooking of the second gall bladder and hence [jscisociety.com]
Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. [books.google.com]
Preoperative diagnosis and appreciation and of this anomaly is especially important to prevent possible surgical complications. [link.springer.com]