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Prenatal diagnosis of rare cloacal exstrophy: A case report
Febriani1, Muhammad Alamsyah Aziz1
1Fetomaternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Padjadjaran University, Hasan Sadikin General Hospital Bandung, Indonesia.
Introduction And Importance:
Cloacal Exstrophy (CE) is a rare congenital birth defect. A correct prenatal diagnosis of CE is rarely made, even when congenital abnormalities are suspected on prenatal ultrasound examination.
Case Presentation:
We report a case of CE with an abdominal defect about 5.31 cm in diameter seen below the umbilicus covered by a membrane. It was difficult to identify the left kidney, the bladder, the genital, and the anal dimple in the early third trimester ultrasound. The diagnosis of CE was then confirmed postnatally.
Clinical Discussion:
Omphalocele and persistent bladder nonvisualization despite normal amniotic fluid volume detected by prenatal ultrasound can be suggestive for CE.
Conclusion:
Accurate prenatal diagnosis of CE is important to carry out multidisciplinary management and prenatal counseling to parents.
