Recurrent Epididymo-orchitis: A Clinical Presentation of Posterior Urethral Valve in a Child with Down Syndrome

Posterior urethral valve in Down syndrome
Vol. 6 No. 1 : 2011 (73-77)

Faizah MZ Faizah MZ
Noorakmal A Noorakmal A
Syariz IS Syariz IS
Dayang AA Dayang AA
Tan HL Tan HL

Abstract
Posterior urethral valve (PUV) commonly presents during infancy. We report a case of a 5-year-old boy with Down syndrome who was diagnosed to have PUV in late childhood. He presented with recurrent left epididymo-orchitis, an uncommon but recognized com-plication of PUV. Our aim is to discuss this rare and delayed presentation of PUV in par-ticular amongst children with Down syndrome, method of diagnosis and complication of the disease if left untreated.
Keywords : Down syndrome, epididymo-orchitis, posterior urethral valve,
Abstrak
Injap uretra posterior biasanya dikesan pada kanak-kanak baru lahir. Kami melaporkan seorang pesakit sindrom Down yang didiagnosa dengan injap uretra posterior pada usia 5 tahun. Beliau mendapat komplikasi injap uretra posterior iaitu infeksi berulang organ testis dan epididimis sebagai gejala awal penyakit tersebut. Kes ini akan membincang-kan presentasi luar biasa penyakit injap uretra posterior pada pesakit sindrom Down, cara mendiagnosanya dan komplikasi akibat penyakit tersebut sekiranya tidak dirawat.
Kata Kunci : infeksi epididimis dan testis, Injap uretra posterior, sindrom Down,

Correspondance Address
Faizah Mohd Zaki. Department of Radiology, Universiti Kebangsaan Malaysia Medical Center, Jalan Yaacob Latiff, 56100 Cheras, Kuala Lumpur. Tel: 03-9145 6177. Fax: 03-91456682. Email: drfaizah@ppukm.ukm,my