CC-BY 4.0 · European J Pediatr Surg Rep 2017; 05(01): e57-e59
DOI: 10.1055/s-0037-1606389
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Image of the Month: Clinical Features in a Newborn with Covered Cloacal Exstrophy

Alejandra Vilanova-Sánchez1, Christina B. Ching2, Alessandra C. Gasior3, Karen Diefenbach3, Richard J. Wood4, Marc Levitt4
  • 1Department of Pediatric Surgery, Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States
  • 2Department of Pediatric Urology, Nationwide Children's Hospital, Columbus, Ohio, United States
  • 3Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, Ohio, United States
  • 4Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States
Further Information

Publication History

29 July 2017

01 August 2017

Publication Date:
13 September 2017 (online)

Abstract

Cloacal exstrophy is the most severe type of anorectal malformations that belongs to the bladder–exstrophy–epispadias complex of genitourinary malformations. Interestingly, its variant, the covered cloacal exstrophy, is often missed. The clinical findings of this variant may include an imperforate anus, low lying umbilicus, thick pubic bone, and pubic diastasis but with an intact abdominal wall. We present an interesting case of covered cloacal exstrophy with a side-by-side duplicated bladder and discuss important considerations for the time of colostomy creation in the newborn period.