A 7-year-old girl was admitted with symptoms of abdominal pain, frequency, dysuria, and urgency. A urine culture showed a colony count of 100,000 Escherichia coli per high-power field. She had a history of three urinary tract infections within the previous two-year period. Each time, she had pyuria and was treated with sulfisoxazole for two weeks. Follow-up urinalyses had normal results.
On physical examination, she was found to be a well-developed, well-nourished, normal-appearing 7-year-old girl. She had a well-healed thoracotomy scar secondary to repair of a coarctation of the aorta at 1 month of age. There was a questionably palpable pelvic mass. Laboratory data from admission studies included a normal urinalysis and no pathogens on urine culture.
An initial cystogram, an excretory urogram, and a second cystogram were obtained (Fig 1, 2, and 3).
Denouement and Discussion
Duplication of the Bladder and Colon
Duplication of the bladder is an uncommon anomaly. It is frequently accompanied by anomalies of the kidneys,
Shearer LT, Holt HA, Young LW. Radiological Case of the Month. Am J Dis Child. 1981;135(7):661–662. doi:10.1001/archpedi.1981.02130310065021
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: