Manta ray sign (bladder)

Last revised by Rohit Sharma on 24 Dec 2024

The manta ray sign is a radiographic appearance in bladder exstrophy. It describes wide midline separation of the pubic bones simulating the appearance of a manta ray 1. The sacrum and iliac wings recall the manta ray’s head and body, with the widely spaced pubic rami forming its cephalic flaps .

Differential diagnosis

On a plain radiograph consider:

  • open book pelvic injuries: the smooth arc of the pelvis outline in bladder exstrophy differentiates it from acquired separation of the pubic symphysis seen in open book pelvic injuries

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.