Abstract
Duplication of the lower urinary tract is a very rare congenital anomaly which is diagnosed either at birth or during early childhood. These rare malformations are most of the times accompanied by other concomitant anomalies and are therefore diagnosed immediately after birth. In some even rarer cases there are no concomitant anomalies and symptoms thus leading to a diagnosis later in childhood. This is the first case in the literature of complete bladder duplication in the coronal plane with concomitant duplication of the urethra and no other associated anomalies in a 52-year-old male who remained asymptomatic and therefore undiagnosed for more than 5 decades.
Highlights
Duplication of the lower urinary tract is a very rare congenital anomaly which is diagnosed either at birth or during early childhood
In some even rarer cases there are no concomitant anomalies and symptoms leading to a diagnosis later in childhood. This is the first case in the literature of complete bladder duplication in the coronal plane with concomitant duplication of the urethra and no other associated anomalies in a 52-year-old male who remained asymptomatic and undiagnosed for more than 5 decades
Its distal part was located in the soft tissue, frontal to the pubic symphysis, and extended to the dorsal surface of the cavernous body of the penis
Summary
In some even rarer cases there are no concomitant anomalies and symptoms leading to a diagnosis later in childhood This is the first case in the literature of complete bladder duplication in the coronal plane with concomitant duplication of the urethra and no other associated anomalies in a 52-year-old male who remained asymptomatic and undiagnosed for more than 5 decades. A 52-year-old male was admitted to the urology department due to sudden purulent urethral secretion He reported a painless progressively developing palpable mass anterior to the pubic symphysis which he first noticed 18 months prior to his admittance. A contrast-enhanced CT was performed that revealed a low-density 7 cm wide cystic mass anterior to the pubic symphysis, in the anatomic region of the suspensory ligament of the penis and in direct contact with the bladder (Figure 1). The pathology report of the specimen confirmed the diagnosis of accessory bladder with transitional cell epithelium followed by a fibromuscular layer (Figure 5)
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