A case of urinary bladder agenesis and bilateral ectopic ureters: a case report

Iman Ibrahim Nazer, Ghufran Alhashmi, Sara Nawfal Sharief, Nada Abdullatif Hefni, Abdulrahman Ibrahim, Sherif M El-Desoky, Ahmed Jalal Alsayyad, Osama Yousef Safdar, Jameela A Kari

Urinary bladder agenesis is a very rare congenital anomaly with very few cases reported in the literature. We report a one-month-old baby presenting with ambiguous genitalia and recurrent urinary tract infections. Her clinical course was complicated by renal impairment. Magnetic resonant imaging (MRI) revealed a diagnosis of bladder agenesis with bilateral ectopic insertion of the ureters into the vagina, associated with several other anomalies. The patient underwent bilateral high anterior ureterostomies in an hospital abroad at 5.5 months of age. She then developed ureteral necrosis that had to be corrected with left pyeloplasty and by placing a left nephrostomy tube for drainage. Eventually, the patient's renal function declined, and she developed chronic kidney disease (CKD).The case with its imaging findings and pathogenesis as well as a review of the literature are presented. Urinary bladder agenesis is a rare congenital condition that can be associated with multiple anomalies. Early diagnosis and therapeutic intervention can prevent progression to chronic kidney disease.