Cloacal Exstrophy with Intravesical Phallus: An Intra-operative Revelation in a case of OEIS Complex

Cloacal exstrophy is a complex congenital malformation and presents more often than not as a spectrum of anomalies. Gender assignment is difficult in these babies because of the ambiguity of the genitalia and the major surgical undertaking which may make the salvage of certain delicate structures an arduous task. Awareness of the variety of ways in which the phallus may be positioned with respect to the exstrophy patch aids surgeons in further reconstruction. We describe a neonate with an extremely rare variant of an intravesical phallus (eight published cases of this entity were found in literature) and discuss the implications of the same.