Annals of Case Reports and Clinical Studies (ISSN: 2834-5673) | Volume 4, Issue 12 | Case Report | Open Access
Geya Gottipati*
Geya Gottipati*, Geeta Kolar, Suseela Vavilala
Department of Fetal Medicine, Fernandez Hospital, Hyderabad, Telangana
*Correspondence to: Geya Gottipati
Fulltext PDFIntroduction: Isolated Bladder Exstrophy is a rare congenital abnormality. Reported incidence is 1 in 30,000 to 1 in 50,000 live births with a significant male preponderance with a male to female ratio of 3:1. It is a midline fusion defect of urinary bladder, anterior pelvis, and genitalia. Prenatal detection rate is only 15% and average gestational age at detection is after 25 weeks. Early prenatal diagnosis helps in providing options of continuation vs termination.
Case report: We report a case presenting at 20 weeks with persistent non visualization of bladder, normal liquor and normal appearing kidneys, and a homogenous solid mass of 3x2x2cm in the lower abdomen. The cord insertion appeared low with the umbilical arteries running alongside the bulging mass. Detailed structural survey revealed no other associated abnormalities confirming the diagnosis of isolated bladder exstrophy. MRI further confirmed the diagnosis. Couple were counselled regarding the diagnosis and need for reconstructive surgery, short and long-term quality of life following reconstruction of bladder exstrophy. Couple opted for termination of pregnancy. The diagnosis of isolated bladder exstrophy was confirmed at autopsy.
Conclusion: Early prenatal diagnosis allows parental counselling, planning birth at tertiary centre and offer better postnatal care involving multidisciplinary team.
Bladder; Abdominal wall defect; Termination of pregnancy
Geya Gottipati, Geeta Kolar, Suseela Vavilala. Early Prenatal Diagnosis of Isolated Bladder Exstrophy. Ann Case Rep Clin Stud. 2025;4(12):1-6.