Significant extravasation does not preclude conservative management of spontaneous perforation of the augmented bladder

Abstract Background Perforation of the augmented bladder is a serious and well-known complication augmentation. The traditional treatment has been emergent surgical exploration repair perforation due to risk peritonitis, sepsis mortality. Some studies have reported successful conservative management by maximizing drainage in patients with stable hemodynamics limited peritoneal extravasation. Herein, we report spontaneous 5-year-old boy exstrophy-epispadias complex following epispadias significant Case presentation A had augmentation ileocystoplasty facilitate failed exstrophy closure. Modified penile disassembly was used for transurethral catheter draining bladder. patient presented on postoperative day 2 non-draining catheter, fever, repeated vomiting abdominal distension. Leukocytosis elevated creatinine were evident laboratory work-up. CT cystogram confirmed diagnosis intraperitoneal Conservative inserting suprapubic an drain. subsequently underwent creation Mitrofanoff appendicovesicostomy neck closure achieve dryness without recurrence follow-up. Conclusions can be managed conservatively even presence extravasation insertion image-guided