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Case Reports
. 2022 Nov 23:45:102288.
doi: 10.1016/j.eucr.2022.102288. eCollection 2022 Nov.

Continent ileocaecocystoplasty bladder augmentation following a failed appendicovesicostomy on pediatric bladder neck stricture due to pelvic fracture urethral injury: A case report

Abraham Gita Ramanda Christanto  1 , Nanda Daniswara  2 , Rudiyuwono Raharjo  3 , Ardy Santosa  2 , Eriawan Agung Nugroho  2 , Sofyan Rais Addin  2
Affiliations
Case Reports

Continent ileocaecocystoplasty bladder augmentation following a failed appendicovesicostomy on pediatric bladder neck stricture due to pelvic fracture urethral injury: A case report

Abraham Gita Ramanda Christanto et al. Urol Case Rep. .

Abstract

Pelvic fracture urethral injury (PFUI) in pediatrics is rare, may involve the bladder neck, and may lead to obstruction and urinary incontinence as a lifelong disability. A 9-year-old female patient had a bladder neck injury related to PFUI after an accident when she was 6 years old and had urinary incontinence. In the previous hospital, the patient underwent appendicovesicostomy but the surgery failed. Continent ileocaecocystoplasty for a definitive treatment was done in our hospital involving the caecum, ileocaecal valve, and ileum. This procedure was delivered safely and brought a good result to the patient with no significant complications.

Keywords: Bladder neck obstruction; Continent urinary reservoirs; Pelvic fracture urethral injury; Urinary diversion.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
The preoperative cystourethrogram showed that the contrast (white) did not flow to the urethra indicating bladder neck obstruction and urethral stricture.
Fig. 2
Fig. 2
The ileocaecal segment used in ileocaecocystoplasty in this case. (A) The illustration of the ileocaecal segment used in this procedure, except the appendix part (marked by red dotted lines). (B) Intraoperative image: the bladder was anastomosed with the ileocaecal segment. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
Fig. 3
Fig. 3
The follow-up images of the patient. (A) One month postoperative cystourethrogram showed that the contrast (black) flowed smoothly to fill the ileum and the bladder with no extravasation contrast on the surrounding structure. (B) One-year follow-up image of the patient performed self-catheterization.
See this image and copyright information in PMC

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