Bladder exstrophy

Case contributed by Dr Andrew Dixon

Presentation

Fall with hip pain. Past history withheld.

Patient Data

Age: 50 years
Gender: Female
X-ray

Marked widening of the pubic symphysis (manta ray appearance) consistent with bladder exstrophy for which the patient had a known history. In terms of a cause for hip pain, there is no fracture identified but there is mild left hip degenerative disease, and mild bilateral greater tuberosity irregularity suggesting chronic gluteal tendinosis.  

Photo

Photo of a manta ray. Photo credit: Dr Frank Gaillard. 

Case Discussion

Typical pelvic x-ray appearance of bladder exstrophy with wide separation of the pubic bones in the midline (manta ray appearance). 

Case courtesy of Dr Matthew Bull. 

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