Antenatally diagnosed cloacal exstrophy variant with intravesical phallus in a twin pregnancy

We report a rare case of covered cloacal exstrophy variant with a hemiphallus trapped within partially closed bladder halves. The persistence of the cloacal membrane until at least 18 weeks’ gestation, confirmed by antenatal ultrasound scanning, is discordant with existing theories of embryogenesis...

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Bibliographic Details
Published in:	Urology (Ridgewood, N.J.) Vol. 57; no. 6; p. 1178
Main Authors:	Lakshmanan, Yegappan, Bellin, Paula B, Gilroy, Anne M, Fung, Leo C.T
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-06-2001
Subjects:	Abnormalities, Multiple - diagnostic imaging Abnormalities, Multiple - surgery Anus, Imperforate - surgery Bladder Exstrophy - diagnostic imaging Bladder Exstrophy - embryology Bladder Exstrophy - surgery Diseases in Twins - embryology Fatal Outcome Humans Infant, Newborn Male Penis - abnormalities Penis - diagnostic imaging Penis - surgery Ultrasonography
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Summary:	We report a rare case of covered cloacal exstrophy variant with a hemiphallus trapped within partially closed bladder halves. The persistence of the cloacal membrane until at least 18 weeks’ gestation, confirmed by antenatal ultrasound scanning, is discordant with existing theories of embryogenesis of cloacal exstrophy. The clinical presentation highlights the need for careful assessment, before and during surgery, to obtain a complete understanding of the anatomic defect before gender assignment and appropriate reconstructive efforts. A multispecialty approach and antenatal counseling are important, especially when only one fetus of twins has major birth defects.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0090-4295 1527-9995
DOI:	10.1016/S0090-4295(01)01082-2