Which clinical history findings are characteristic of cloacal exstrophy?

Updated: Nov 05, 2019
  • Author: James G Glasser, MD, MA, FACS; Chief Editor: Dharmendra J Nimavat, MD, FAAP  more...
  • Print
Answer

Characteristics of cloacal exstrophy include the following:

  • Bladder exstrophy with a central strip (plate of cecum) and prolapsed ileum (elephant trunk appearance)

  • Potential presence of duplication of the colon and appendix, or colonic atresia, or imperforate anus

  • Myelodysplasia (tethered cord, myelomeningocele, hydromyelia, diastematomyelia)

  • Fetal uropathy with oligohydramnios and pulmonary hypoplasia

  • Compression abnormalities: Indented thorax, malformed digits, talipes (club foot), bowed limbs, and dislocated hips

  • Low-set ears

See the following images.

Pediatric omphalocele and gastroschisis (abdominal Pediatric omphalocele and gastroschisis (abdominal wall defects). This photograph shows cloacal exstrophy in an infant.
Pediatric omphalocele and gastroschisis (abdominal Pediatric omphalocele and gastroschisis (abdominal wall defects). Note the bifid genitalia in this infant with cloacal exstrophy.

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!