PMC4715891_01
Figure 1:Photograph at surgery showing the type II colonic pouch, the external genitalia (white arrow) and the low-set umbilicus with scarring around it (black arrow).
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F1
Examination revealed the stigmata of pseudoexstrophy with a low-set umbilicus, scarring around the umbilicus, and wide pubic diastasis (Fig. 1).
Figure 2:Infantogram showing the large gas shadow of the colonic pouch in the left side of the abdomen (arrow). Note the wide pubic diastasis (fine arrow).
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F2
Clinical and radiological examination (Fig. 2) showed similar findings as reported in the first case except for mild hydronephrosis of the left kidney and a distended urinary bladder on ultrasound abdomen.
Figure 3:Photograph at surgery showing the colonic pouch that had been decompressed (black arrow). Note the hemiuterus on each side in the pelvis (white arrows) and the lobulated, flaccid urinary bladder (fine arrow).
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F3
Laparotomy revealed type II CPC with a distended thin-walled colonic pouch, a single appendix, a distended flaccid bladder, and one hemiuterus and vagina on each side in the pelvis, flanking the lower terminal portion of the colonic pouch (Fig. 3).