Ruptured rectal duplication cyst with classical bladder exstrophy.
A newborn boy was brought to us, 2 hours after birth, with a mucosal-lined left hemiperineal lesion associated with classical bladder exstrophy and an anterolaterally displaced anus. Perineal anatomy was restored by excising the mucosa lined lesion. The bladder closure for classical bladder exstrophy was done at the same time. Histologically, gastric, respiratory, and small intestinal epithelia were present in the mucosa. A rectal duplication cyst that had ruptured in utero through the hemiperineum could explain the anomaly. The association of classical bladder exstrophy with ruptured rectal duplication cyst has never previously been described in the literature.
Gupta
Rahul K
RK
Department of Pediatric Surgery, King Edward Memorial Hospital, Parel, Mumbai 400012, India. drrahulg78@yahoo.co.in
Oak
Sanjay
S
Parelkar
Sandesh V
SV
Sanghvi
Beejal
B
Kaltari
Deepak K
DK
Prakash
Advait
A
Patil
Rajashekhar
R
Bachani
Mitesh
M
D000015:Abnormalities, Multiple / Q000196:embryology / Q000601:surgery; D001746:Bladder Exstrophy / Q000196:embryology / Q000601:surgery; D002988:Cloaca / Q000196:embryology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010502:Perineum / Q000002:abnormalities* / Q000196:embryology / Q000601:surgery; D012007:Rectum / Q000002:abnormalities* / Q000196:embryology / Q000601:surgery; D012422:Rupture, Spontaneous; D013521:Urologic Surgical Procedures, Male / Q000379:methods