Bladder exstrophy

Case contributed by Sherry Wang

Presentation

Abnormal abdominal wall

x-ray

Failure of the pubic bones to meet in the midline. Manta ray sign.

Case Discussion

Congenital abnormality where the urinary bladder extrudes thorough a defect in the abdominal wall.
It is along the spectrum of the extrosphy-epispadias complex.
Its presentation is variable, often involving the urinary, reproductive and intestinal tracts, as well as the musculoskeletal system.
Associated with OEIS syndrome- omphalocele, exstrophy, imperforated anus and spinal abnormalities.

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