Bladder exstrophy
This rare congenital abnormality is found in every 40,000 births. The severity
ranges from small abdominal fistula to the complete exstrophy of the cloaca
resulting in the exposure of the bladder. In males there is complete epispadias
with a wide and shallow scrotum. Females have wide duplication of the clitoris.
Management of this condition should start at birth by covering the area with
a Sialistic shield or another appropriate plastic dressings and should be urgently
transferred to a surgical unit.