Role of Imaging in Antenatal Diagnosis of Bladder Exstrophy - Epispadias Complex

Abstract

Bladder exstrophy-epispadias complex is a rare congenital anomaly. A higher occurrence in males compared to females is observed. It occurs due to failure of the abdominal wall closure during fetal development and results in protrusion of the posterior bladder wall through the lower abdominal wall. It involves a spectrum of anomalies of the lower abdominal wall, bladder, anterior bony pelvis and external genitalia. Here, we report a case of antenatal diagnosis of bladder exostrophy -epispadias complex in a seven months pregnant patient who came to us for routine antenatal sonography. On fetal MRI, our findings were confirmed. Patient was followed and normal vaginal delivery was done.