Clitoromegaly, duplex urethra, and dysplastic vagina

Pre- and postnatal imaging of a girl with a cloacal variant

“…This rare combination was first described in 1956 by Broster [12]. The exact aetiology of the virilization has not been determined but is believed to be secondary to a fundamental derangement of urogenital development [4,5,7]. All reported children have a normal 46XX genotype and unremarkable adrenal, metabolic and endocrine status after birth.…”

“…No spinal or pelvic osseous malformations are seen genitalia in association with cloacal or urogenital sinus malformations is unknown. Only a few cases have been described in the literature [4][5][6][7][8].…”

“…Many coexisting anomalies involving the spine, pelvis, uterus and kidneys have been described [1,3]. Infrequently, virilization of the external genitalia is seen [4][5][6][7][8]. Because of the high risk of secondary urogenital infections and sepsis with renal damage, prompt and precise anatomical and functional diagnostic work-up is essential in these children in order to guide treatment [1][2][3].…”

Cloaca, Posterior Cloaca and Absent Penis Spectrum

“…They entitled their paper "Accessory Phallic Urethra in the Female Patient," and actually they described three cases that are posterior cloacas according to the pictures that we saw in the paper [ 126 ]. In 1994, Chatterjee published a case described as clitoromegaly, duplex urethra, and dysplastic vagina, but the photograph of the patient shows the 2-orifi ce variant of the posterior cloaca spectrum [ 127 ].…”