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Posterior urethral valve and anterior rectal duplication: a new combination
  1. Kailas P Bhandarkar1,
  2. Nordeen Bouhadiba2 and
  3. Massimo Garriboli3
  1. 1 Paediatric Surgery, Evelina London Children’s Healthcare, London, UK
  2. 2 Paediatric Surgery, Guy’s and St Thomas Hospital, London, UK
  3. 3 Paediatric Urology, Evelina London Children’s Healthcare, London, UK
  1. Correspondence to Kailas P Bhandarkar, drbhandarkar{at}


We present a rare case of association of anterior rectal duplication and posterior urethral valve (PUV). A term neonate with no antenatal concerns was admitted with urosepsis and acute renal injury at 18 days of age. History revealed a poor urinary stream and dribbling. After resuscitation and stabilisation, renal tract ultrasound and micturating cysto-urethrogram were performed. Cystourethroscopy showed PUV and a mass indenting the bladder posteriorly. MRI confirmed the presence of a cystic lesion anterior to the rectum suspicious of rectal duplication. Laparoscopic-assisted excision of the anterior rectal duplication cyst was then performed. The infant recovered uneventfully. Creatinine normalised postoperatively and has been stable at follow-up.

  • urinary tract infections
  • urology
  • paediatric surgery
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  • Contributors KPB and MG drafted the manuscript. KPB, NB and MG edited the manuscript. NB and MG corrected the whole manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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