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Posterior Cloacal Variant with Clitorolabial Transposition and a Rectoperineal Fistula

Niveshni Maistry1, Giulia Brisighelli1, Chris Westgarth-Taylor1

  • 1Department of Paediatric Surgery, Chris Hani Baragwanath Hospital, Diepkloof, Soweto, Gauteng, South Africa.

European Journal of Pediatric Surgery Reports
|May 24, 2021
PubMed

Insights

This study details the management of a rare posterior cloacal variant in an infant. Surgical interventions over one year corrected complex anatomical abnormalities, including hydrocolpos and fistulas.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Congenital Abnormalities

Background:

  • Cloacal variants are rare complex congenital anomalies.
  • Early diagnosis and management are crucial for optimal outcomes.
  • This case presents a unique posterior cloacal variant with associated genital transposition.

Observation:

  • A 5-week-old infant presented with a posterior cloacal variant and transposition of external genitalia.
  • Radiological investigations guided the diagnostic process.
  • The infant had hydrocolpos and a rectoperineal fistula.

Findings:

  • A staged surgical approach over one year was successfully implemented.
  • Procedures included laparotomy with hydrocolpos drainage and colostomy, ureteric reimplantation, and posterior sagittal anorectoplasty.
  • The rectoperineal fistula was addressed surgically.

Implications:

  • This case expands the understanding of cloacal variant presentations.
  • It highlights the importance of tailored, multi-stage surgical management for complex genitourinary anomalies.
  • Long-term pediatric surgical follow-up is essential for monitoring and managing such conditions.

Keywords:
anorectal malformationcloacaposterior cloacal variant

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