AI Article Synopsis
- A 3-year-old boy with Down syndrome suffered from a bladder rupture due to an undiagnosed condition called posterior urethral valve (PUV), leading to severe complications and peritoneal sepsis.
- Emergency surgical intervention involved a laparotomy and the placement of a suprapubic catheter, which stabilized his condition over time.
- After confirming PUV through cystourethroscopy and further tests, the boy is now thriving with normal kidney function and is managing bladder issues with a vesicostomy.
Article Abstract
We describe a case of a 3-year-old boy with Down syndrome who developed a bladder rupture as a consequence of an undiagnosed posterior urethral valve (PUV). He had a history of urinary tract infections and constipation and was acutely admitted in poor condition and underwent laparotomy that revealed peritoneal sepsis secondary to bladder perforation. Bladder was drained using a suprapubic catheter and the condition of the boy gradually improved. Once stable, a cystourethroscopy confirmed the presence of PUV. Video-urodynamic studies performed at the check cystoscopy showed the bladder to be of reduced compliance (end fill pressure at 100 mL fill 30 cmHO) with raised voiding pressures (76-100 cmHO) and significant incomplete bladder emptying. Currently, the patient is doing very well, serum creatinine has normalised, he is infection-free and thriving; his bladder is managed with a vesicostomy.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461274 | PMC |
| http://dx.doi.org/10.1136/bcr-2020-240857 | DOI Listing |
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