Presentation
Known and operated case of bladder exstrophy. No history of trauma.
Patient Data
Marked separation of the pubic bones with a manta ray appearance is seen where the sacrum and iliac wings resemble the head and body of the manta ray, with the largely diastatic pubic rami forming its cephalic flaps.
By injecting the contrast medium through a Foley catheter, the urinary bladder is visualized and relatively displaced into the pelvic outlet without pathologic filling defect or outpouching.
Vesicoureteric reflux is not seen.
The post-voiding residue is within normal limits.
Case Discussion
This case typically demonstrates pelvic x-ray appearance of bladder exstrophy with wide separation of the pubic bones in the midline, known as manta ray appearance.