cloacal malformation

Female infant

with a single perineal opening. Lateral view (left) from a colostogram (lower left contrast collection) shows a rectovesical fistula with contrast filling the patient’s bladder (upper left contrast collection). Oblique view from later in the study (right) shows a filled bladder with a competent bladder neck, a long urethra-urogenital sinus and possibly a rudimentary vagina.The diagnosis was cloacal malformation.

Newborn with

one perineal opening for their vagina and urethra and rectum. Lateral image from a voiding cystourethrogram exam performed through a suprapubic tube shows a contrast filled bladder (to the left), retrograde filling of the colon (to the right), and incidental vesicoureteral reflux into a non-dilated ureter (in the middle). The patient is also voiding and the contrast filled urethra is seen to join into a common channel with the colon and the contrast flows through the common channel before it exits the body.The diagnosis was cloacal malformation.