Inouye, Brian Masao, Tourchi, Ali, Massanyi, Eric Z, Gearhart, John P, Tekes, Aylin, Inouye, Brian Masao, Tourchi, Ali, Massanyi, Eric Z, Gearhart, John P, and Tekes, Aylin
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.