Umbilical evagination of the bladder in a newborn infant

• Published in: Chirurgie pediatrique Vol. 28; no. 2; p. 112
• Main Authors: Grinda, A, Valla, J S, Dupont, D, Velin, P, Fast, M
• Format: Journal Article
• Language: French
• 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
• ISSN: 0180-5738

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.