Bladder Necrosis at Time of Presentation with Ulcerative Colitis in an 8-year-old Female: A Case Report

A case of bladder necrosis in an 8-year-old female at time of presentation of ulcerative colitis (UC) is presented. A case of bladder necrosis in a pediatric patient outside of the neonatal period has not been reported. The patient presented with abdominal pain, bloody stools, hematuria, and acute r...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2022-02, Vol.160, p.195-198
Main Authors: Schlomer, Bruce J., Norris, Nicholas, Gurram, Bhaskar, Carpinito, Gianpaolo
Format: Article
Language:English
Subjects:
Child
Colitis, Ulcerative - complications
Colitis, Ulcerative - diagnosis
Colitis, Ulcerative - surgery
Female
Humans
Infant, Newborn
Necrosis - etiology
Urinary Bladder - pathology
Urinary Bladder Diseases - diagnosis
Urinary Bladder Diseases - etiology
Urinary Bladder Diseases - surgery
Urinary Bladder Neoplasms - surgery
Urinary Diversion
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Summary:A case of bladder necrosis in an 8-year-old female at time of presentation of ulcerative colitis (UC) is presented. A case of bladder necrosis in a pediatric patient outside of the neonatal period has not been reported. The patient presented with abdominal pain, bloody stools, hematuria, and acute renal failure. She was acutely management with bilateral nephrostomy tube placement. Bladder and colon biopsies revealed diagnosis of UC and bladder necrosis. The UC was medically managed. The bladder did not regenerate after several months of observation and ileal conduit urinary diversion was performed. A right proximal ureteral stricture was managed by pyeloplasty at time of ileal conduit. The patient is doing well over 1 year after surgery.
ISSN:0090-4295
1527-9995
1527-9995
DOI:10.1016/j.urology.2021.11.007