Salhab Nabila, Gawrieh Bardisan, Deeb Mohammad Ali, Taishori Norma, Omran Ammar
Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria.
Department of Pediatrics, Faculty of Medicine, Tishreen University, Lattakia, Syria.
J Surg Case Rep. 2020 Jun 10;2020(6):rjaa093. doi: 10.1093/jscr/rjaa093. eCollection 2020 Jun.
The management of bladder exstrophy (BE) remains one of the most significant challenges encountered by pediatric urologists despite improvements in the operative techniques worldwide. Regardless of surgical technique, timing of primary closure remains a matter of debate. The initial closure may be performed within the first 48-72 hours of life or at ~6-12 weeks of age. Delayed presentation until adolescence is extremely rare. However, due to lack of awareness, and access to healthcare along with poor socioeconomic conditions in developing countries, some patients may not receive treatment during infancy. We present a case of a 10-year-old Syrian male with BE associated with complete rectal prolapse who did not undergo any previous surgical interventions.
尽管全球手术技术有所改进，但膀胱外翻（BE）的管理仍然是小儿泌尿科医生面临的最重大挑战之一。无论采用何种手术技术，一期关闭的时机仍是一个有争议的问题。初始关闭可在出生后的头48 - 72小时内进行，或在6 - 12周龄左右进行。延迟至青春期才出现症状的情况极为罕见。然而，由于发展中国家缺乏认识、医疗保健可及性差以及社会经济条件不佳，一些患者在婴儿期可能无法接受治疗。我们报告一例10岁叙利亚男性膀胱外翻合并完全直肠脱垂的病例，该患者此前未接受过任何手术干预。
