First Case of Complete Bladder Duplication in the Coronal Plane with Concomitant Duplication of the Urethra in an Adult Male

Abstract

Duplication of the lower urinary tract is a very rare congenital anomaly which is diagnosed either at birth or during early childhood. These rare malformations are most of the times accompanied by other concomitant anomalies and are therefore diagnosed immediately after birth. In some even rarer cases there are no concomitant anomalies and symptoms thus leading to a diagnosis later in childhood. This is the first case in the literature of complete bladder duplication in the coronal plane with concomitant duplication of the urethra and no other associated anomalies in a 52-year-old male who remained asymptomatic and therefore undiagnosed for more than 5 decades.

Diphallia, Double Bladder, and Two Hemiscrotums: A Case Report

“… bladder (eg, exstrophy, duplication), urethra (eg, duplication, ending in blind pouch, hypospadias, lack of a urethra in any phallus), scrotum (eg, bifid, ectopic, accessory), testes (eg, undescended, one in the scrotum), and kidneys (eg, agenesis, horseshoe kidney, ectopia, dysplasia, dysgenesis, atrophy) …”

“…The Abrahamson classification system poses two categories: complete duplication of the bladder with two separate urethras and incomplete bladder duplication with two bladders communicating with each other, one of which drains into a common urethra. Abrahamson's classification system is not always clear cut; there will be unusual variants or deviations . The definition for complete bladder duplication requires a muscular tissue septum to lie between the two bladders.…”

“… colon, rectosigmoid, and anorectal abnormalities (ie, GI tract); imperforate anus or anorectal atresia; separation of the rectus abdominis musculature (ie, ventral hernias); fistulas between the GU and GI tracts; abnormal skeletal and heart muscles; diastasis symphysis pubis; limb abnormalities; and neural tube defects, butterfly vertebrae, or spina bifida (ie, vertebral malformations). …”

Duplikasi Buli-Buli

“…Gambaran imejing nya dapat merupakan duplikasi komplit atau tidak komplit, dan pemisah bisa dalam posisi sagital atau koronal. 1,2 Dilaporkan dua kasus bayi yang satu mengalami hidronefrosis kongenital pada kedua ginjal dan yang lainnya mengalami malformasi anorektal (MAR). Telah dilakukan pemeriksaan imejing diagnostik dengan ultrasonografi (USG), genitografi, lopografi dan Magnetic Resonance Imaging (MRI), dan dilaporkan adanya duplikasi buli-buli pada kedua kasus.…”

“…Pada kasus ini, salah satu buli-buli posisinya anterior-superior terhadap yang lain. 1 Proses pembentukan buli-buli adalah pada saat janin berusia antara empat sampai dengan tujuh minggu. Kloaka terbagi menjadi sinus urogenital di bagian ventral dan kanalis analis di dorsal, dan keduanya dipisahkan oleh septum urorektal.…”