Presentation
Fall with hip pain. Past history withheld.
Patient Data
Age: 50 years
Gender: Female
From the case:
Bladder exstrophy
Frontal
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.
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.