Drooping moustache sign

Case contributed by Vikas Shah
Diagnosis almost certain

Presentation

Pelvic floor assessment

Patient Data

Gender: Female
mri

Posterior prolapse of the fat in the retropubic space, akin to the drooping corners of a moustache, due to loss of integrity of the urethral suspensory ligaments and level 3 endopelvic fascia.

Case Discussion

This is one of the features assessed on the static portion of an MR defecating proctography study.

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