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    Go to the top of the page   ID: 20020705114724 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy)
    R Mund. Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy). PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020705114724


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    R. Mund ( Leipzig )  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    10 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Pelvis-Urinary bladder  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    A now 10 year-old boy; findings after corrective surgery of a bladder exstrophy in infancy.

    With 9 years of age, bladder augmentation with an ileum patch (increase of bladder volume).  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Bladder exstrophy: so-called split bladder. Congenital defect of the front bladder and abdominal wall with free-lying hind bladder wall, the vesical triangle and the hind wall of the urethra.  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Urinary bladder, longitudinal. In the roof of the bladder, one can see the irregularities of the urinary bladder through the ileum.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Urinary bladder, horizontal, Photopic-Mode. On the anterior wall (in the region of the roof of the bladder), a "neo-bladder" can be seen. Increased peristaltic movemntes of the roof of the bladder can be seen.


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    N/A  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Even though the bladder volume was increased by augmentation, the incontinence remained. The boy was treated with a gracilisplasty at the proximal urethra (after stimulational therapy of the gracilis muscle).  

     
     Pediatric Radiology CasesComments of the author about the case:

    During the bladder augmentation, a segment of the ileum (with the most mobile localization) is split longitudinally and sewn into the bladder to increase volume.
    In using the gracilis muscle, the ipsilateral gracilis muscle is detached, folded over proximally, and looped around the proximal urethra and the tendon. It is consequently anchored periostally.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Urinary bladder, augmentation, ileum patch, exstrophy, bladder augmentation, ileum patch, ileal pouch, ileal conduit, bladder exstrophy, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    R Mund. Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy). PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020705114724  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Pelvis-Urinary bladder
    or in the region: Pelvis
    or in the tissue/organ: Urinary bladder
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy)
    R Mund. Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy). PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020705114724


     

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    Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy)
    Other cases by these authors:

    Search R. Mund in Medline R. Mund (16)   

    Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy)  
     
    Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy)
    R Mund. Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy). PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020705114724


     
     
    Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy)
    R Mund. Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy). PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020705114724


     

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    Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy)
    R Mund. Urinary bladder after bladder augmentation with ileum patch (state after bladder exstrophy). PedRad [serial online] vol 2, no. 7.
    URL: www.PedRad.info/?search=20020705114724


     




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