Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | Search | About Us | FAQ | Reviews | Contact Us
Additional pediatric resources: SearchingPediatrics.com | Pediatric Commons Facebook iconTwitter iconRSS icon | PediatricEducation.org | GeneralPediatrics.com

Virtual Pediatric Hospital: Paediapaedia: Exstrophy of the Bladder Paediapaedia: Genitourinary Diseases

Exstrophy of the Bladder

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Clinical Presentation:
Not applicable

Etiology/Pathophysiology:
Failure of closure of the anterior wall of the bladder due to defective embryonic development of the anterior wall of the urogenital sinus and genital tubercle which results in a lower midline abdominal wall defect and open bladder with failure of urethral tubularization (epispadias) and pubic diastasis. Rarely a vesicointestinal fistual or prolapse (cloacal extrophy) is seen in these patients. The anus is ventral in position and may occasionally be imperforate. The genitalia are consistently involved. Rectal prolapse can occur due to poor pelvic musculature.

Pathology:
Not applicable

Imaging Findings:
A plain abdominal film shows diastasis of the symphysis pubis. The kidneys are usually normal.

DDX:
Diastasis of symphysis pubis

References:
See References Chapter.

Section Top | Title Page


Additional pediatric resources: SearchingPediatrics.com | Pediatric Commons Facebook iconTwitter iconRSS icon | PediatricEducation.org | GeneralPediatrics.com
Home | Search | About Us | FAQ | Reviews | Contact Us

Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. [Google+ Profile] and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright 1992-2014 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.

URL: http://www.virtualpediatrichospital.org/

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.