Pregnancies following a treated ectopia vesicae

Abstract

Background: Reports of pregnancies in patients with ectopia vesicae (bladder exstrophy) have been reported in the literature.
Aim: To report two pregnancies in a woman treated for ectopia vesicae.
Setting: Departments of Obstetrics and Gynaecology and Urosurgery, Cornwall Regional Hospital, Montego Bay, Jamaica, West Indies.
Case report: A 24 year old woman who had ectopia vesicae was treated with closure of the bladder and with ureterosigmoidostomy as a child. She subsequently had two consecutive advanced pregnancies. In the first pregnancy, a macerated male stillbirth was delivered per vaginam and there was no adverse effect on the genitourinary system. She was successfully delivered of a live baby boy in a subsequent second pregnancy by Caesarean section.
Conclusion: This case underscores the benefits of supervising such pregnancies.


Port Harcourt Medical Journal Vol. 1(1) September 2006: 62-64