Umbilical evagination of the bladder in a newborn infant

A 4,000 g male infant two hours old, product of normal pregnancy and delivery was admitted in our hospital because of bladder intussusception though umbilico vesical fistula (persistent foetal bladder). The anomaly coexisted with hernia in the umbilical cord. The whole upper part of the bladder was...

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Bibliographic Details
Published inChirurgie pediatrique Vol. 28; no. 2; p. 112
Main Authors Grinda, A, Valla, J S, Dupont, D, Velin, P, Fast, M
Format Journal Article
LanguageFrench
Published France 1987
Subjects
Fistula - complications
Fistula - congenital
Fistula - pathology
Hernia, Umbilical - complications
Hernia, Umbilical - pathology
Humans
Infant, Newborn
Male
Umbilicus
Urachus
Urinary Bladder - abnormalities
Urinary Bladder Fistula - congenital
Urinary Bladder Fistula - pathology
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Summary:A 4,000 g male infant two hours old, product of normal pregnancy and delivery was admitted in our hospital because of bladder intussusception though umbilico vesical fistula (persistent foetal bladder). The anomaly coexisted with hernia in the umbilical cord. The whole upper part of the bladder was everted and could not be brought in. The surgical correction was performed on the fourth hour. The everted bladder was reduced from inside, severed from abdominal wall and closed in two layers. Pan endoscopy revealed no lower urinary tract obstruction. The post-operative course was uneventful. A bilateral vesico-ureteral reflux grade II was observed on post-operative cystography. On sixth month follow up the infant was growing well and there was no more reflux on cystography. Diagnostic and treatment of this unusual malformation are discussed.
ISSN:0180-5738