eMedicine Specialties > Pediatrics: Surgery > General Surgery

Cloacal Malformations: Multimedia

Author: Marc A Levitt, MD, Assistant Professor of Surgery and Pediatrics, University of Cincinnati; Associate Director, Colorectal Center for Children, Department of Pediatric Surgery, Cincinnati Children's Hospital Medical Center
Coauthor(s): Alberto Pena, MD, Consulting Surgeon, Colorectal Center for Children, Department of Pediatric Surgery, Cincinnati Children's Hospital Medical Center
Contributor Information and Disclosures

Updated: Jul 10, 2007

Multimedia

Newborn with persistent cloaca and massive hydroc...Media file 1: Newborn with persistent cloaca and massive hydrocolpos.
Newborn with persistent cloaca and massive hydroc...

Newborn with persistent cloaca and massive hydrocolpos.

Ultrasonogram showing hydronephrosis before and a...Media file 2: Ultrasonogram showing hydronephrosis before and after drainage of the hydrocolpos, which was compressing the trigone of the bladder.
Ultrasonogram showing hydronephrosis before and a...

Ultrasonogram showing hydronephrosis before and after drainage of the hydrocolpos, which was compressing the trigone of the bladder.

Hysterosalpingogram in a baby who has persistent ...Media file 3: Hysterosalpingogram in a baby who has persistent cloaca with symmetric hemiuteri.
Hysterosalpingogram in a baby who has persistent ...

Hysterosalpingogram in a baby who has persistent cloaca with symmetric hemiuteri.

Perineum of a baby with persistent cloaca.Media file 4: Perineum of a baby with persistent cloaca.
Perineum of a baby with persistent cloaca.

Perineum of a baby with persistent cloaca.

Perineum of a baby with persistent cloaca.Media file 5: Perineum of a baby with persistent cloaca.
Perineum of a baby with persistent cloaca.

Perineum of a baby with persistent cloaca.

Perineum of a baby with persistent cloaca. Note t...Media file 6: Perineum of a baby with persistent cloaca. Note the single perineal orifice.
Perineum of a baby with persistent cloaca. Note t...

Perineum of a baby with persistent cloaca. Note the single perineal orifice.

Perineum of a baby with persistent cloaca showing...Media file 7: Perineum of a baby with persistent cloaca showing the more common finding of small external genitalia.
Perineum of a baby with persistent cloaca showing...

Perineum of a baby with persistent cloaca showing the more common finding of small external genitalia.

Artist's drawing of persistent cloaca, a lateral ...Media file 8: Artist's drawing of persistent cloaca, a lateral view.
Artist's drawing of persistent cloaca, a lateral ...

Artist's drawing of persistent cloaca, a lateral view.

Posterior sagittal approach to repair a cloacal m...Media file 9: Posterior sagittal approach to repair a cloacal malformation, showing rectum, vagina, and urethra.
Posterior sagittal approach to repair a cloacal m...

Posterior sagittal approach to repair a cloacal malformation, showing rectum, vagina, and urethra.

Total urogenital mobilization during repair of a ...Media file 10: Total urogenital mobilization during repair of a persistent cloaca.
Total urogenital mobilization during repair of a ...

Total urogenital mobilization during repair of a persistent cloaca.

Repair of persistent cloaca with a 4-cm common ch...Media file 11: Repair of persistent cloaca with a 4-cm common channel.
Repair of persistent cloaca with a 4-cm common ch...

Repair of persistent cloaca with a 4-cm common channel.

MRI of a teenage girl born with persistent cloaca...Media file 12: MRI of a teenage girl born with persistent cloaca, with pelvic masses caused by metrocolpos and metrometra.
MRI of a teenage girl born with persistent cloaca...

MRI of a teenage girl born with persistent cloaca, with pelvic masses caused by metrocolpos and metrometra.

Artist's drawing of retrograde menstruation due t...Media file 13: Artist's drawing of retrograde menstruation due to an atretic hemicervix in a patient with persistent cloaca and hemiuteri.
Artist's drawing of retrograde menstruation due t...

Artist's drawing of retrograde menstruation due to an atretic hemicervix in a patient with persistent cloaca and hemiuteri.

Artist's view of a laparotomy in a patient with m...Media file 14: Artist's view of a laparotomy in a patient with menstrual blood–filled anomalous Müllerian structures.
Artist's view of a laparotomy in a patient with m...

Artist's view of a laparotomy in a patient with menstrual blood–filled anomalous Müllerian structures.

Calculation of the sacral ratio.Media file 15: Calculation of the sacral ratio.
Calculation of the sacral ratio.

Calculation of the sacral ratio.

More on Cloacal Malformations

Overview: Cloacal Malformations
Workup: Cloacal Malformations
Treatment: Cloacal Malformations
Follow-up: Cloacal Malformations
Multimedia: Cloacal Malformations
References

References

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Further Reading

Keywords

cloacal malformations, anorectal malformations, cloaca, cloacal anomalies, persistent cloaca, confluence of the rectum, confluence of the urethra, confluence of the vagina, urogenital sinus, posterior sagittal approach, posterior sagittal anorectovaginourethroplasty, PSARVUP, urinary continence, fecal continence, rectovaginal fistula, hydrocolpos, imperforate anus, vaginal scarring, cloacal exstrophy, midline intestinal plate, omphalocele, vesicostomy, genitourinary defects, rectovesical fistula, rectovestibular fistula, rectobulbar fistula, rectoperineal fistula, tethered cord, tethered spinal cord, presacral mass, dermoids, teratomas, anterior meningoceles, Currarino triad, hemisacrum, Mitrofanoff procedure, acidosis, spina bifida, spinal hemivertebrae

Contributor Information and Disclosures

Author

Marc A Levitt, MD, Assistant Professor of Surgery and Pediatrics, University of Cincinnati; Associate Director, Colorectal Center for Children, Department of Pediatric Surgery, Cincinnati Children's Hospital Medical Center
Marc A Levitt, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, and Society of American Gastrointestinal and Endoscopic Surgeons
Disclosure: Nothing to disclose.

Coauthor(s)

Alberto Pena, MD, Consulting Surgeon, Colorectal Center for Children, Department of Pediatric Surgery, Cincinnati Children's Hospital Medical Center
Disclosure: Nothing to disclose.

Medical Editor

Aviva L Katz, MD, Assistant Professor of Surgery, University of Pittsburgh School of Medicine; Consulting Staff, Division of General and Thoracic Surgery, Children's Hospital of Pittsburgh
Aviva L Katz, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Surgeons, American Pediatric Surgical Association, Association of Women Surgeons, Physicians for Social Responsibility, and Wilderness Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine.com, Inc
Disclosure: Pfizer Inc Stock Investment from broker recommendation; Avanir Pharma Stock Investment from broker recommendation

Managing Editor

Gail E Besner, MD, Professor of Surgery and Pediatrics, Department of Surgery, Ohio State University College of Medicine and Public Health; Director, Pediatric Surgical Research, Department of Surgery, Children's Hospital
Gail E Besner, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American Burn Association, American College of Surgeons, American Gastroenterological Association, American Medical Association, American Medical Women's Association, American Pediatric Surgical Association, Association for Academic Surgery, Federation of American Societies for Experimental Biology, Society of Critical Care Medicine, Society of Surgical Oncology, and Society of University Surgeons
Disclosure: Nothing to disclose.

CME Editor

H Biemann Othersen Jr, MD, Professor of Surgery and Pediatrics, Emeritus Head, Division of Pediatric Surgery, Medical University of South Carolina
H Biemann Othersen Jr, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American Association for the Surgery of Trauma, American Burn Association, American Cancer Society, American College of Surgeons, American Medical Association, American Pediatric Surgical Association, American Society for Parenteral and Enteral Nutrition, American Surgical Association, American Thoracic Society, British Association of Paediatric Surgeons, Pediatric Oncology Group, Society for Surgery of the Alimentary Tract, Society of Critical Care Medicine, South Carolina Medical Association, Southeastern Surgical Congress, Southern Medical Association, Southern Society for Pediatric Research, and Southern Thoracic Surgical Association
Disclosure: Nothing to disclose.

Chief Editor

Marleta Reynolds, MD, Professor of Surgery, Feinberg School of Medicine, Northwestern University; Interim Head, Division of Pediatric Surgery, Department of Surgery, Children's Memorial Hospital of Chicago
Marleta Reynolds, MD is a member of the following medical societies: American Pediatric Surgical Association
Disclosure: Nothing to disclose.

 
 
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