title: Duplication and exstrophy of the bladder with clitoris and vagina duplex as well as uterus bicornis.
abstract: The variants of bladder exstrophy with duplication of the bladder are extremely rare and associated with further malformations of the genitourinary system. Initially, the clinical appearance is that of a classic exstrophy. In this case a second, regularly configured bladder with a normal supravesical urinary tract was found covered by an omphalocele like a cutaneous bag. At the same time, there was a duplication of the vagina and a bicornuate uterus. The surgical treatment, aiming at anatomic reconstruction of the genitourinary system and closure of the symphysis, was successfully performed without any complication.
authors: Department of Surgical Pediatrics, Children's Hospital, Inselspital, University of Bern, Bern, Switzerland. wolfram.kluwe@insel.ch
authors: Wolfram
authors: W
authors: Kluwe
authors: Harald
authors: H
authors: Mau
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D001746:Bladder Exstrophy / Q000601:surgery*; D002987:Clitoris / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D019651:Plastic Surgery Procedures / Q000379:methods*; D001743:Urinary Bladder / Q000002:abnormalities*; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery