Patent urachus with bladder prolapse

Abstract

We report a term neonate with a congenital patent urachus with bladder prolapse. Initial antenatal fetal morphology ultrasound at 13 weeks gestation revealed a large midline pelvic cyst communicating with the bladder which disappeared on subsequent 23 week ultrasound and instead a small umbilical mass was seen, suspicious of omphalocoele. At birth, an umbilical eversion of the bladder dome through a patent urachus was found and operated on a second day of life with excision of the prolapse and bladder closure. There were no other co-existing anomalies and postoperative complications.With increased reporting on bladder prolapse through a patent urachus, we present a case report with a brief review of published literature. Keywords: Patent urachus, Bladder prolapse, Bladder eversion