Pediatric Urology Case Reports

123-126

Authors: Ngu Ing Soon

Isolated bladder neck horizontal transection without bladder or prostatic involvement is very rare in pediatric age group. To our knowledge, this is the first case of such trauma reported in Malaysia. In this article, we present a case of primary suprapubic catheter insertion with delayed vesicoprostatic urethral anastomosis in the treatment of complete bladder neck horizontal transection.

132-136

Authors: Mustafa Ayhan Ekici, Pelin Oyardi, Funda Dagistanli, Omur Albayrak, Caglar Cetin

A 13-year-old prepubertal girl had with primary amenorrhea and severe lower abdominal pain. Pelvic ultrasound showed double uterine cavity and a fluid collection in left uterine cavity with diffuse low level internal echoes, which appeared contiguous with the endocervix. Hymen could not be evaluated because the patient could not be taken to the gynecological table the patient was initially diagnosed as imperforate hymen, gynecologic examination was performed with sedation, and hymen has a normal patency. Magnetic resonance imaging (MRI) revealed two uterus and two cervix, normal right endometrial cavity and 17 mm fluid in the left endometrial cavity and compatible with hematometra. Hematocolpos was observed in the left half of the vagina. There was no left kidney and the right kidney was normal. Based on these findings, the patient was diagnosed as Herlyn-WernerWunderlich syndrome and vaginal septum resection was performed as treatment. Evaluation of the genital tract by means of MRI scanning or ultrasonography should be recommended in all girls with known renal abnormalities before the onset of menstruation.