Bladder duplication in infant girls: role of imaging in two rare cases with variants of a complete sagittal septum

Abstract

Bladder duplication is an extremely rare congenital anomaly of the urinary system that is more frequent in boys; the literature is limited to case reports and case series. We describe two cases of bladder duplication in two infant girls with an uncommon variant of complete sagittal septum not included in the Abrahamson classification. The diagnosis was made using magnetic resonance urography, combining excellent anatomical information and static and dynamic evaluation of the urinary tract. The diagnostic information provided by MR-urography was confirmed on surgical exploration. These cases provide an opportunity for paediatric radiologists and urologists to learn more about bladder duplication and improve their diagnosis of this rare condition.

Keywords: Bladder duplication; Congenital anomaly; Infants; Magnetic resonance imaging; Magnetic resonance urography; Ultrasound; Urinary system.