Duplicated exstrophy in one of identical twins

The characteristic of duplicated exstrophy is the presence of a patch of exstrophic bladder mucosa in the infraumbilical region with a low-set umbilicus, in addition to the normal bladder. Musculoskeletal defects, diastasis pubis, and rectus abdominis can also be found in these patients. We report t...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2000-08, Vol.56 (2), p.330-330
Main Authors: Cerrah Celayir, Ayşenur, Celayir, Sinan, Öner, Naci, Vural, Gürcan, Danişmend, Nur
Format: Article
Language:English
Subjects:
Abnormalities, Multiple - diagnosis
Abnormalities, Multiple - genetics
Abnormalities, Multiple - surgery
Bladder Exstrophy - diagnosis
Bladder Exstrophy - genetics
Bladder Exstrophy - surgery
Diseases in Twins - diagnosis
Diseases in Twins - genetics
Female
Humans
Infant, Newborn
Prognosis
Pubic Symphysis - abnormalities
Pubic Symphysis - surgery
Twins, Monozygotic
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Summary:The characteristic of duplicated exstrophy is the presence of a patch of exstrophic bladder mucosa in the infraumbilical region with a low-set umbilicus, in addition to the normal bladder. Musculoskeletal defects, diastasis pubis, and rectus abdominis can also be found in these patients. We report the first case of a female twin baby with appearance of a low-set umbilicus and diastasis pubis associated with a pubic sinus. The external genitalia and urinary continence were normal. Duplicated exstrophic mucosal remnant was excised, and the histopathologic study of the specimen confirmed urothelium.
ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(00)00571-9