South Sudan Medical Journal

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Bladder exstrophy – epispadias complex in a newborn: a c ase report and r eview of lit erature

Paul N. Tolefaca, Eugene Yeike, Calypse Ngwasiri, Gregory Ekane Halle, Alain Mefire Chichom


Background: Bladder exstrophy-epispadias complex (BEEC) is a rare congenital malformation of the genitourinary system usually associated with other malformations.

Case summary: We report the case of a new born delivered vaginally at 39 weeks and 2 days of gestation with BEEC. Three prenatal ultrasound scans missed the diagnosis. Medical management was provided and the patient was discharged against medical advice 48 hours later upon refusing surgical intervention.

Conclusion: The diagnosis and management of BEEC is a challenge in sub-Sahara Africa. Radiologists doing prenatal ultrasounds should check routinely to exclude foetal anomalies.

Reporting: Care 2016 guideline.

Keywords: bladder extrophy, epispadias, congenital malformation, prenatal ultrasound

AJOL African Journals Online