Iqbal Saadia, Soomro Siraj, Baig M Nasir, Soomro Aqil, Jan Iftikhar A
Department of Paediatric Surgery, National Institute of Child Health, Karachi.
J Coll Physicians Surg Pak. 2007 Jul;17(7):444-5.
A one year old boy presented with dribbling of urine since birth. Ultrasonography showed bilateral hydronephrosis and hydroureter suggestive of posterior urethral valves. Micturating cystourethrogram and cystoscopy was not possible due to obstruction at bladder neck. Vesicostomy was initially performed to relieve the obstruction. Child presented again at the age of 3 years whence MCUG suggested a filling defect in the bladder, confirmed as a mass on cystoscopy. Exploration revealed a 3 x 4 cm polypoidal mass arising from the bladder neck near verumontanum. Excision of the mass was easy due to narrow pedicle. Histology suggested it to be a large fibroepithelial polyp complicated by cystitis glandularis cystica. Child had uneventful recovery and is symptoms-free 6 months after surgery.
一名1岁男童自出生起就出现尿滴沥。超声检查显示双侧肾积水和输尿管积水，提示后尿道瓣膜。由于膀胱颈梗阻，无法进行排尿性膀胱尿道造影和膀胱镜检查。最初进行了膀胱造口术以缓解梗阻。患儿3岁时再次就诊，此时排尿性膀胱尿道造影显示膀胱内有充盈缺损，膀胱镜检查证实为肿物。探查发现一个3×4厘米的息肉样肿物，起源于膀胱颈靠近精阜处。由于蒂部狭窄，肿物切除容易。组织学检查提示为一个伴有腺性膀胱炎的大纤维上皮息肉。患儿恢复顺利，术后6个月无症状。
