{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:08:42Z","timestamp":1753862922734,"version":"3.41.2"},"reference-count":9,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T00:00:00Z","timestamp":1644192000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Bladder exstrophy is a rare and complex malformation. Often associated with diverse deformations, an accurate diagnosis is a must for adequate management. In the African setting, especially in a remote area, delivery rarely occurs within a healthcare structure, thus reducing the chance of an early diagnosis. Due to a low density of specialists, people in rural areas refer to traditional healers for healthcare problems, the thing that delays the time to diagnosis. We report, according to the CARE guidelines (<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.equator-network.org\/reporting-guidelines\/care\/\">https:\/\/www.equator\u2010network.org\/reporting\u2010guidelines\/care\/<\/jats:ext-link>), a case of an 18\u2010year\u2010old male patient who was transferred to us for better management of a reddish hypogastric mass leaking urine. Initially considered as a congenital wound, his parents applied traditional products to heal it. Following the poor outcomes, the parents will consult several general physicians; unfortunately, no one gave a clear diagnosis. The clinical examination on admission revealed a good general condition and noted the presence of a reddish, ovoid structure of about 9 centimeters of the minor axis and 11 centimeters of the major axis in the hypogastric region allowing urine to flow in its upper part. The external genitalia examination revealed a retracted and short penis with urine exit at its base through the reddish structure. The patient was transferred outside the country for better management due to a lack of dedicated equipment. Although vesical exstrophy is a rare disease, an early diagnosis allows adequate management and good outcome. Thus, a well\u2010performed neonatal examination is required to avoid later diagnosis and complications.<\/jats:p>","DOI":"10.1002\/ccr3.5414","type":"journal-article","created":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T09:46:45Z","timestamp":1644227205000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bladder exstrophy: An atypical journey of a rare case of an adult"],"prefix":"10.1002","volume":"10","author":[{"given":"Jean de Dieu Tumusifu","family":"Manegabe","sequence":"first","affiliation":[{"name":"Faculty of Medicine Catholic University of Bukavu  Bukavu Democratic Republic of the Congo"},{"name":"Surgery Department Provincial General Hospital of Bukavu  Bukavu Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8678-5125","authenticated-orcid":false,"given":"Gauthier Murhula","family":"Bahizire","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Catholic University of Bukavu  Bukavu Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5170-7442","authenticated-orcid":false,"given":"Daniel Safari","family":"Nteranya","sequence":"additional","affiliation":[{"name":"Surgery Department Official University of Bukavu University Clinics of Bukavu  Bukavu Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghislain Balemba","family":"Maheshe","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Catholic University of Bukavu  Bukavu Democratic Republic of the Congo"},{"name":"Department of Radiology Provincial General Hospital of Bukavu  Bukavu Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrice Gulimwentuga","family":"Cikomola","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Catholic University of Bukavu  Bukavu Democratic Republic of the Congo"},{"name":"Surgery Department Provincial General Hospital of Bukavu  Bukavu Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul Munguakonkwa","family":"Budema","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Catholic University of Bukavu  Bukavu Democratic Republic of the Congo"},{"name":"Surgery Department Provincial General Hospital of Bukavu  Bukavu Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e9on\u2010Emmanuel Mukengeshayi","family":"Mubenga","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Catholic University of Bukavu  Bukavu Democratic Republic of the Congo"},{"name":"Surgery Department Provincial General Hospital of Bukavu  Bukavu Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.afju.2013.01.002"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2018.29.197.15291"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2015.2793"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.40609"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.32948\/auo.2021.10.11"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0971\u20109261.43017"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gyobfe.2010.08.027"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/0971\u20109261.83483"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2014.17.172.3031"}],"container-title":["Clinical Case 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