title: Bladder exstrophy-epispadias complex with adenocarcinoma in an adult patient: A case report.
abstract: The present case report presents the case of exstrophy-epispadias complex (EEC) with the widest separation of the symphysis pubis to date. A 33-year-old male was referred to hospital with previously unreconstructed EEC malformation. The diagnosis established was of EEC with separation of the symphysis pubis and left inguinal hernia with adenocarcinoma of the bladder. The patient underwent radical cystectomy plus an ileal conduit and an expanded local lymphadenectomy. Osteotomy was not performed, and instead the defect of the pelvis and abdominal wall was repaired using meshes and a lower abdominal island skin flap. At 1 year after surgery the patient recovered well, with no indications of mesh distortion or major complications.
authors.affiliation: Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China.
authors.forename: Wei
authors.initials: W
authors.lastname: Xiong
authors.affiliation: Department of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China.
authors.forename: Ran
authors.initials: R
authors.lastname: Peng
authors.affiliation: Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China.
authors.forename: Liang
authors.initials: L
authors.lastname: Zhu
authors.affiliation: Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China.
authors.forename: Zhaohui
authors.initials: Z
authors.lastname: Zhong
keywords: adenocarcinoma; adult; bladder exstrophy; epispadias