Partial umbilical exstrophy with cecal patch and intact hindgut entering a cloaca: a new variant.
Variants of cloaca and exstrophy are difficult to explain and manage. We describe a female neonate having partial umbilical exstrophy with a cecal patch in the bladder and an intact distal hindgut that was expressed as a cloaca. The baby was managed by ileostomy and bladder closure without separating the cecal patch from the bladder. The possible embryological origin of this abnormality is discussed, and the literature is reviewed.
Department of Pediatric Surgery, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
Monika
M
Bawa
Vijay M
VM
Samalad
Ravi Prakash
RP
Kanojia
K L N
KL
Rao
D000015:Abnormalities, Multiple / Q000196:embryology / Q000473:pathology / Q000601:surgery; D001746:Bladder Exstrophy / Q000196:embryology / Q000473:pathology; D002988:Cloaca / Q000002:abnormalities* / Q000196:embryology / Q000473:pathology; D003106:Colon / Q000002:abnormalities* / Q000196:embryology / Q000473:pathology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D014470:Umbilical Cord / Q000002:abnormalities* / Q000196:embryology / Q000473:pathology