Inferior Vesical Fissure—A Rare Variant of Exstrophy Bladder: Case Report With Literature Review

Exstrophy variants are uncommon developmental anomalies of the bladder; the variants involving only the bladder neck are extremely rare. There are only three case reports of inferior vesical fissure (IVF) to date, and usually it’s uncommonly associated with other malformations. A combination of infe...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2023-08, Vol.178, p.138-142
Main Authors: Shekar P, Ashwin, Yadav, Anuj, Bhagat, Suresh, Gopalakrishnan, Ganesh
Format: Article
Language:English
Subjects:
Anorectal Malformations - complications
Bladder Exstrophy - complications
Bladder Exstrophy - surgery
Child, Preschool
Digestive System Abnormalities
Humans
Male
Urethra - surgery
Urinary Bladder - abnormalities
Urinary Bladder - surgery
Urinary Bladder Fistula - surgery
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Summary:Exstrophy variants are uncommon developmental anomalies of the bladder; the variants involving only the bladder neck are extremely rare. There are only three case reports of inferior vesical fissure (IVF) to date, and usually it’s uncommonly associated with other malformations. A combination of inferior vesical fistula (IVF) as an exstrophy variant with urethral atresia and anorectal malformation has not been described previously. We report a case of IVF in a 4-year-old male previously operated for anorectal malformation who was managed with fistula closure with bladder neck reconstruction of lay open of stenosed urethra. Recognition of the exstrophy variant is important because the treatment and prognosis are very different.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2023.03.036