Complete cloacal duplication imaged before and during pregnancy.

Area of Science:

• Reproductive Medicine
• Urology
• Medical Imaging

Background:

• Congenital anomalies of the genitourinary and rectal systems are rare.
• Complete duplication involving separate bladders, uteri, cervices, vaginas, and rectums is exceptionally uncommon.
• This case highlights a complex anatomical malformation.

Purpose of the Study:

• To report a rare case of complete genitourinary and rectal duplication.
• To illustrate the diagnostic process using computed tomography (CT) and intravenous urography.
• To document the findings during pregnancy and Cesarean section.

Main Methods:

• Patient presentation with emergent abdominal pain.
• Diagnostic imaging including CT scans and intravenous urography.
• Surgical confirmation during Cesarean section.

Main Results:

• Complete genitourinary duplication (separate bladders, uteri, cervices, vaginas) identified.
• Rectal duplication also present.
• Dilatation of urinary collecting systems noted, particularly on the right side.

Conclusions:

• Complete genitourinary and rectal duplication is a rare congenital anomaly.
• Multimodal imaging is crucial for diagnosis.
• This condition can present challenges, especially during pregnancy.