Duplicated pelvic floor musculature and diastematomyelia in a cloacal exstrophy patient

J Radiol Case Rep. 2014 Oct 31;8(10):8-14. doi: 10.3941/jrcr.v8i10.2088. eCollection 2014 Oct.

Abstract

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.

Keywords: Cloacal Exstrophy; Diastematomyelia; Duplicated Pelvic Floor; Etiology; Exstrophy-Epispadias Complex; Spinal Dysraphism.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Cloaca / abnormalities*
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Neural Tube Defects / complications*
  • Neural Tube Defects / diagnosis
  • Neural Tube Defects / diagnostic imaging
  • Pelvic Bones / abnormalities
  • Pelvic Floor / abnormalities*
  • Pelvic Floor / diagnostic imaging
  • Radiography