A Case of Persistent Cloaca with Hydrocolpos.

Lee, Jin Woo; Kim, Sei Kwang; Cho, Jae Sung; Jeon, Myung Jae; Roh, Jin Lae; Lee, Hyun Jung; Park, Ki Hyun; Koo, Ja Seung; Cho, Sang Ho; Han, Seok Joo

Case Report

Korean Journal of Obstetrics & Gynecology 2002;45(9):1641-1644.
Published online September 1, 2002.

A Case of Persistent Cloaca with Hydrocolpos.

Jin Woo Lee, Sei Kwang Kim, Jae Sung Cho, Myung Jae Jeon, Jin Lae Roh, Hyun Jung Lee, Ki Hyun Park, Ja Seung Koo, Sang Ho Cho, Seok Joo Han

¹Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.
²Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.
³Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Persistent cloaca is a very rare congenital anomaly with a single common perineal opening for the genital, urinary and gastrointestinal tracts, which arises from defects in the embryonal process of descent of urorectal septum or fusion to cloacal membrane. Anomalies associated with persistent cloaca are found in the upper urinary tract, gastrointestinal tract, cardiovascular system, central nervous system and respiratory system, which are not easily detected through ultrasound during pregnancy. It has been reported that if those anomalies are diagnosed early, they can be corrected surgically. We present a case of persistent cloaca with hydrocolpos confirmed by autopsy after emergency cesarean section which was initially presented as a huge abdominal cystic mass and bilateral hydronephrosis by ultrasound at 34 weeks of gestation.

Key Words: Persistent cloaca, hydrocolpos