1 Department of Urology, Hassan II University Hospital, Fez, Morocco.
2 Faculty of Medicine, Pharmacy and Dentistry of Fez, Sidi Mohammed Ben Abdellah University, Morocco.
*Corresponding Author: Adil Mellouki
Urology Department, CHU of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Email: [email protected]
Received : Mar 31, 2022
Accepted : Apr 26, 2022
Published : May 03, 2022
Archived : www.jcimcr.org
Copyright : © Mellouki A (2022).
Classical bladder exstrophy results from a defective lower abdominal wall with open bladder and urethra, and anteriorly opened bony pelvis . Families with low socioeconomic status, lack of education and limited access to health care in developing countries often neglect treatment of such cases .
We present the case of a 28-year-old female patient, single, with low socioeconomic status, no notion of consanguinity, and no similar cases in the family. She had a bladder exstrophy since birth, never treated. She consulted for urinary incontinence. On clinical examination (Figure 1): presence of a 4.5 cm bladder template with fibrotic inflammatory mucosa between the two rectus muscles; ureter ostia noticeable with nipples. No umbilicus, no vaginal orifice. On radiographic exploration of the pelvis: enlargement of the iliac bones, a vaginal imperforation was objectified on MRI, the biopsy of the plaque was in favor of normal skin tissue, with a discrete lesion of non-specific chronic cystitis. Therapeutically, the patient refused the surgical procedure and was discharged against medical advice.
Conflict of interest: The authors declare that they have no conflicts of interest in relation to this paper.