Cloacal Malformation Variant in a Male Neonate

Abstract

Cloacal malformation is a rare entity and is invariably referred only to females. We are reporting a very rare case of cloacal malformation variant in a 6-day-old male neonate who presented with absent anal opening along with passage of urine and meconium from an abnormal opening in the perineum.

Keywords: Cloacal malformation; male; neonate; perineal opening; variant.

Figure 1

Photographs showing single midline perineal opening at the proximal part of the scrotum with small cavity underneath it (a); two smaller openings, one anterior (with Foley's catheter in situ shown by yellow arrow) and other posteriorly placed (black arrow), are seen in the posterior wall of the cavity (b); infant feeding tube placed in posteriorly placed rectal opening and irrigation of the distal colonic loop done to confirm the rectal opening in the common channel (c); bilaterally descended testes, penoscrotal transposition, severe chordee, and perineal hypospadias along with neoanus are seen (d)

Figure 2

Nonfluoroscopic well-tempered pressure-augmented distal colostogram: Anteroposterior view (a) showing rectum tapering before entering into the cavity along with complete bladder filling; lateral view (b) showing rectum descending below the “I” line; rectum (red arrow) and urethra (yellow arrow) communicating with a common channel (yellow bracket). TC: Transverse colon, C: Colostomy, S: Sigmoid colon, R: Rectum, B: Bladder