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Figure 1: The central area of defect was identified as caecal plate “C” with a dilated prolapsed terminal ileum “I” with the length of 4–5 cm presenting as characteristic “elephant trunk deformity.” A small sized opening on the prolapsed terminal ileum which noted to be passing meconium (arrow). On lateral aspects, there were exstrophy bladder plates with two hemispheric bladders “H” each of which contains a visible ureteric orifice “*”. Genital anomalies with asymmetrical widely bifid sacro labial folds that were hyperpigmented. The gonad was palpable in the left side with absent phallus.

Figure 1: The central area of defect was identified as caecal plate “C” with a dilated prolapsed terminal ileum “I” with the length of 4–5 cm presenting as characteristic “elephant trunk deformity.” A small sized opening on the prolapsed terminal ileum which noted to be passing meconium (arrow). On lateral aspects, there were exstrophy bladder plates with two hemispheric bladders “H” each of which contains a visible ureteric orifice “*”. Genital anomalies with asymmetrical widely bifid sacro labial folds that were hyperpigmented. The gonad was palpable in the left side with absent phallus.