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This is to our knowledge the first case in the world literature of a liveborn baby with a tubular colonic duplication, agenesis of the urinary bladder, urethral atresia, and a single pelvic kidney with its ureter opening directly onto the skin in the region of the natal cleft. A brief review of the embryology is included and an attempt is made to explain the embryologic basis for this anomaly.

The gold standard for management of rectovestibular fistula is a three-stage procedure in many Western countries. This malformation has been corrected successfully in a single-stage in the Indian subcontinent. This report describes a girl with rectovestibular fistula who was later diagnosed to be a case of congenital pouch colon (CPC).

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It is a surgical challenge to repair a cloacal malformation. We are reporting a case of cloacal malformation in which we performed a reconstructive surgery. We performed a reconstructive surgery in a 5 yr old patient who had got a colostomy done in the neonatal period. The surgical management included purely a posterior sagittal anorectovaginourethroplasty without an abdominal approach