Patient case: Ectopia Vesicae
A 3-day-old girl is brought to the pediatric clinic after her birth at a local hospital. The newborn was delivered full term by cesarean section, and the parents report no major complications during the pregnancy. However, the attending nurse noticed that the baby had an unusual appearance of the genital area at birth. Upon examination, it is observed that the baby has a visible urinary opening outside the normal location, with the urethra located on the abdomen rather than the perineum, suggesting the diagnosis of ectopia vesicae.
The infant is otherwise stable, with no signs of infection or other congenital abnormalities. An abdominal ultrasound confirms that the bladder is normal in size and shape but is positioned abnormally, with its opening on the abdominal wall.
The parents are counseled about the condition, and the baby is referred to a pediatric urologist for further management. Surgical correction is planned to reposition the bladder opening to the normal location, and the family is informed about the potential for multiple surgeries and long-term follow-up to ensure normal urinary and reproductive function. The baby is also closely monitored for any potential renal or urinary tract issues associated with the condition.
A) A visible urinary opening on the abdomen
B) Abnormal facial features
C) Difficulty breathing
D) Enlarged abdomen
A) X-ray
B) Abdominal ultrasound
C) MRI
D) CT scan
A) Antibiotic therapy
B) Surgical correction to reposition the bladder opening
C) Observation without intervention
D) Medication to manage urinary function
A) Hearing loss
B) Renal or urinary tract issues
C) Vision problems
D) Cardiac abnormalities
Answers
1. A
2. B
3. B
4. B
