Single Perineal Opening With 'H-Type' Cecovesical Fistula And Blind-Ending Foreshortened Distal Colon: A New Variant Of Persistent Cloaca

BMJ CASE REPORTS(2021)

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摘要
Persistent cloaca is a rare and severe variety of anorectal malformation, which is more common in females and includes a spectrum of abnormalities. The urinary tract, genital tract and rectum open into a common channel, which exteriorises as a single perineal opening. We are reporting a patient with a novel variation in the classical anatomy of the cloaca. The child has a short blind-ending colon with a cecovesical fistula associated with mullerian agenesis and lipomyelomeningocoele. The child is being managed in a stepwise approach and she has completed the anal reconstruction. Here, we discuss this novel variation in anatomy and challenges in its management.
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关键词
congenital disorders, paediatric surgery
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