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Background: Posterior urethral valve (PUV) may present with different symptoms, starting from abdominal distension, respiratory distress, and severe septicemia to failure to thrive.
Methods: A 5-year-old child presented with acute abdominal pain and was suspected to have complete intestinal obstruction. Exploratory laparotomy revealed that the bowel was severely adhered to inflamed bladder but no other abnormalities. After laparotomy the patient responded well, but had difficulty in urination. The patient was then confirmed with PUV by voiding cystourethrography, and underwent hook fulguration.
Results: The catheter was removed on the 4th day after fulguration. The patient was discharged in satisfactory conditions.
Conclusion: PUV has a wide range of clinical presen-tations and a proper collection of case history is essential to reach a correct diagnosis.
Key words: posterior urethral valve; intestinal obstruction; clinical presentation
World J Pediatr 2007;3(3):226-227
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