Persistent cloaca is a rare urogenital anomaly that can pose significant challenges for adequate diagnosis and management. We describe the case of an infant girl with a cloacal malformation, having a single perineal orifice and an accessory phallic urethra, who presented with ambiguous genitalia at birth. The distal part of the accessory phallic urethra was used to create a mucosa-lined vestibule as a part of the total urogenital sinus mobilization. This technical maneuver allowed a more natural looking, and possibly functioning, vaginal introitus, improving the final cosmetic result.
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http://dx.doi.org/10.1016/j.urology.2010.12.044 | DOI Listing |
BMJ Case Rep
August 2018
Vattikuti Urology Institute, Henry Ford Hospital, Detroit, Michigan, USA.
We present a case of a child with pancreatic insufficiency and facial defects typical of Johanson-Blizzard syndrome (JBS), along with the more facultative anomalies of the JBS, such as those of the urogenital system including persistent urogenital sinus, urethral duplication and dysplastic kidneys. Fetal ultrasound in a 21-year-old G1P1 woman revealed ambiguous genitalia. Examination at birth revealed a phallic structure with urethral meatus, non-palpable gonads, two orifices in close proximity in the perineum, with the anterior being a common urogenital channel and the posterior, the rectum.
View Article and Find Full Text PDFCase Rep Radiol
March 2018
Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.
Urethral duplication is a rare congenital malformation, especially in females. It may be associated with complex urogenital malformations, but the association with a cystic phallic urethra and a uterus didelphys is exceptional. We report a case of a newborn with urethral duplication, with the accessory urethra exteriorized by a large cyst, associated with a uterus didelphys and bone malformations.
View Article and Find Full Text PDFAnat Rec (Hoboken)
February 2017
Laboratory of Comparative Vertebrate Anatomy, Institute of Biological Sciences, University of Brasília, Brasília, Brazil.
The mouse, chicken, African clawed frog, and zebrafish are considered ¨model organisms¨ due to their extensive embryological and genetic characterization. However, they are far from representative of known diversity, impairing phylogenetic analyses of developmental patterns. Since squamates have historically received limited attention in developmental studies, we here describe the developmental sequence for Tropidurus torquatus, and provide the first post-ovipositional developmental series for the lizard family Tropiduridae.
View Article and Find Full Text PDFTaiwan J Obstet Gynecol
December 2013
Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan; Department of Bioengineering, Tatung University, Taipei, Taiwan.
Objective: To present female pseudohermaphroditism in a prenatally diagnosed cloacal malformation.
Case Report: A 29-year-old, primigravid woman referred for counseling at 17 weeks of gestation because of oligohydramnios and an intra-abdominal cyst in the fetus. The woman was not exposed to any virilizing agent during this pregnancy.
J Neonatal Surg
May 2015
Government Medical College and hospital, Nagpur, Maharashtra, India.
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