Complex Congenital Anomalies of Colorectal and Genito-urinary Systems: A Case Report

Kainat Ejaz, Rabbia, Misbah

Abstract

The caudal duplication syndrome is a rare but well-recognized congenital anomaly. We describe a female who presented in neonatal period with imperforate anus with fistula in the vestibule. On further investigations anomalies related to upper urinary tract as well as genital systems were identified. Later stool was noted coming out of an additional opening behind the vagina. This turned out to be the duplication of distal part of the colorectal gut. Patient also suffered from the recurrent urinary tract infections and failure to thrive was noted. CT urogram showed duplication of the upper urinary system with massive hydronephrosis and hydroureter on right side and significant dilatation of the urinary system on left side. Patient underwent left sigmoid colostomy and bilateral ureterostomies. She is currently in follow up.

Key words 

Caudal duplication syndrome, Duplication of urinary tract, Septate vagina, Uterus didelphys, Colonic duplication, Ureterostomy, Colostomy, Hydronephrosis, Renal dysplasia.