# Urinary bladder duplication in an adult male with associated genitourinary and spinal malformations: Multimodal imaging and surgical confirmation in a complex urogenital case

## TL;DR

A rare case of bladder duplication in an adult male is described, along with related genitourinary and spinal abnormalities, diagnosed through imaging and resolved surgically.

## Contribution

Presents a rare case of bladder duplication in an adult male with associated genitourinary and spinal malformations confirmed by multimodal imaging and surgery.

## Key findings

- Bladder duplication with a complete sagittal septum was diagnosed using ultrasound, CT urogram, and MRI.
- The patient had associated anomalies including a hypoplastic left kidney, VUJ diverticulum, and partial sacral hypoplasia.
- Surgical resection of the septum and stone removal resolved the patient's symptoms.

## Abstract

Bladder duplication is a rare congenital anomaly, seldom reported in adults. We describe a young male presenting with recurrent urinary symptoms and lower abdominal pain. Imaging (ultrasound, CT urogram, MRI) revealed a complete sagittal septum dividing the bladder into 2 cavities with cystolithiasis, along with a hypoplastic left kidney, vesicoureteral junction (VUJ) diverticulum, partial sacral hypoplasia, and hypoplastic prostate and seminal vesicles. The patient underwent septum resection and stone removal, leading to symptom resolution. This case underscores the importance of considering congenital anomalies in adult urological presentations and highlights the role of comprehensive imaging in diagnosis and management.