Korean J Urol.  2012 Jul;53(7):505-507. 10.4111/kju.2012.53.7.505.

Anterior Urethral Valve and Diverticulum in a Neonate with Febrile Urinary Tract Infection

• Song JH
• Lee MH
• Lee JH
• Lee CH
• Jeon YS
• Lee NK
• Kim DS

• KMID: 1988765
• DOI: http://doi.org/10.4111/kju.2012.53.7.505

Abstract

Anterior urethral valve is a rare congenital anomaly that can cause obstructive uropathy. Herein, we report a case of an anterior urethral valve that led to the development of febrile urinary tract infection in a neonate.

Keyword

Congenital abnormalities; Diverticulum; Surgery; Urethra

MeSH Terms

Congenital Abnormalities
Diverticulum
Humans
Infant, Newborn
Urethra
Urinary Tract
Urinary Tract Infections

Figure

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  FIG. 1 Transverse transpenile ultrasound. Diverticulum in the bulbous anterior urethra (asterisk) is seen up to a thickened linear band of the urethral lumen (arrow).

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  FIG. 2 (A, B) Oblique images from voiding cystourethrogram showing diverticulum at the anterior urethra (asterisk) and dilated posterior urethra (large arrow). Note the prominent anterior and posterior lips (small arrows). (C) Retrograde urethrography 3 months after open surgery showing normal-caliber posterior urethra (large arrow) with patent anterior urethra (small arrow).

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  FIG. 3 Open resection of the anterior urethral valve and diverticulectomy. The opened diverticulum (asterisk) and 5 Fr feeding tube are visible in the urethra.

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  FIG. 4 Microscopic view of the resected urethral diverticulum showing a mild thickened urethral mucosa (A), corpus spongiosum (B), and fibrotic tissue (C) (H&E, ×40).

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