A newborn baby boy is delivered via cesarean section due to concerns about abnormal fetal positioning. Upon delivery, the attending team immediately notices a large, exposed mass in the lower abdomen, where the bladder is visible outside the body, covered by a thin membrane. The infant is also noted to have abnormal external genitalia. The parents are informed that the baby has bladder exstrophy, a rare congenital condition where the bladder is turned inside out and protrudes through the abdominal wall.

The baby is stable but requires immediate intervention. The medical team begins preparing for the necessary surgical repair to close the bladder and restore normal anatomy. The parents are counseled about the condition, which will require multiple surgeries over time, including reconstruction of the bladder, pelvic bones, and genitalia, as well as ongoing care for urinary and reproductive function.

The infant is transferred to a pediatric surgical unit for evaluation, and a multidisciplinary team, including pediatric surgeons, urologists, and geneticists, is involved in planning his long-term care and follow-up. The family is supported emotionally, and the parents are educated about the potential challenges and outlook for the child’s future.