Complex Cloacal Anomaly in Discordant Monozygotic Twins

Sonali R. Meyer, Kenneth M. Smith, Indupur R. Ravish, Daniel A. Saltzman, Aseem R. Shukla

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Urorectal septum malformation sequences are rare congenital malformations. We report a case of persistent cloaca prenatally diagnosed at 26 weeks of gestation in 1 of a set of discordant monozygotic twins. The affected fetus at birth had a phallus-like structure, bladder outlet obstruction, an imperforate anus, and uterine distension. Diverting colostomy, vesicostomy, and percutaneous colpostomy tube were initially placed before definitive posterior sagittal anorectovaginoplasty was completed. A cloacal anomaly occurring in only 1 of a set of monozygotic twins is an exceedingly rare event.

Original languageEnglish (US)
Pages (from-to)532-534
Number of pages3
Issue number3
StatePublished - Mar 2009

Bibliographical note

Copyright 2009 Elsevier B.V., All rights reserved.


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