Presentation
Fall with hip pain. Past history withheld.
Patient Data
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 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.