A 3-month-old female infant was noted to have two near mirror image anal openings: an anterior, normally sited, anus and a posterior duplicated proctodeum. Ultrasound and X-rays were normal. Contrast X-ray showed 2-cm long non-communicating proctodeal duplication. She underwent EUA, proctoscopy, stimulation of sphincter and transproctodeal excision of the duplication and external sphincter reconstruction with excellent cosmetic and functional results.
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