International Journal of Clinical Obstetrics and Gynaecology

Background: Congenital ectopia vesicae is a rare urological anomaly often accompanied by pelvic skeletal deformities, typically requiring cesarean delivery due to obstetric risks.

Case Presentation: A 19-year-old primigravida with unrepaired congenital bladder exstrophy and split pelvis presented in active labor. Despite her anatomical anomalies, she achieved an uncomplicated full-term vaginal delivery. Ultrasound confirmed ectopia vesicae with split pelvis and absent umbilicus. Other investigations, including CBC, LFT/KFT, and HbA1c, showed only mild abnormalities. Conservative management with close monitoring, iron and vitamin supplementation, prophylactic antibiotics, and analgesia was provided.