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

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.