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

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.

Bladder duplication in a patient with a persistent urogenital sinus: Case report and systematic review of the literature

“… 17 BD has also been described in variants of cloacal exstrophy. 3 , 18 Anorectal malformations, like the anterior anus our patient had, are described in association to BD in multiple papers. 3 , 12 As for urinary anomalies, Coker describes 85 % of the reviewed cases of BD to be associated to some genitourinary anomaly.…”