Duplicated pelvic floor musculature and diastematomyelia in a cloacal exstrophy patient.

Duplicated pelvic floor musculature and diastematomyelia in a cloacal exstrophy patient.

Inouye Brian M; Tourchi Ali; Massanyi Eric Z; Gearhart John P; Tekes Aylin

Journal of radiology case reports

2014

2014-10

Cloacal exstrophy is the most severe and rare form of the exstrophy-epispadias complex, presenting with exposed bladder halves extruding through an abdominal wall defect and variable genitourinary, gastrointestinal, musculoskeletal, and neurological defects. The authors report magnetic resonance imaging findings of a neurologically-intact, 24-month-old female with cloacal exstrophy who presented with anterior spinal dysraphism and diastematomyelia and duplicate pelvic floor musculature. The constellation of defects suggests a common genetic, biochemical, and embryological origin for duplication of the bladder, spinal cord, and pelvic floor muscles occurring in the fourth week of gestation.

Female; Humans; Magnetic Resonance Imaging; Child; Radiography; Cloaca/*abnormalities; Cloacal Exstrophy; Diastematomyelia; Duplicated Pelvic Floor; Etiology; Exstrophy-Epispadias Complex; Neural Tube Defects/*complications/diagnosis/diagnostic imaging; Pelvic Bones/abnormalities; Pelvic Floor/*abnormalities/diagnostic imaging; Spinal Dysraphism; Preschool

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