2016 Volume 68 Issue 2 Pages 88-92
Persistent cloaca is a complex malformation in which the rectum, vagina, and urinary tract share a common channel. It is a rare condition with an incidence of 1 in 20000 to 50000 live births. As it is a complex malformation with a wide spectrum of severity, we are faced with great difficulties in treatment. We report a case of persistent cloaca with uterus didelphys, including a hypoplastic single-sided cervix after reconstruction of an imperforate anus, an ectopic ureter opening, and a vesicorectal fistula. A 16-year-old girl, menarche at 12 years old, showed dysmenorrhea for several years. A large cystic tumor was found by computed tomography and uterus didelphys was detected by magnetic resonance imaging (MRI). Her left uterine cervix was not observed by MRI. She was suspected to have hematometra and hematosalpinx because of dysgenesis of the uterine cervix. She had a laparotomy to remove the cystic tumor and left uterus. We did not locate the left ovary during surgery. A part of the cystic tumor was found to be a left ovary after surgery. She has regular menstruation without menstrual cramps. [Adv Obstet Gynecol, 68 (2), 88-92, 2016 (H28.5)]
