Case Overview:
- Newborn female patient
- Esophageal atresia repaired as neonate
- Had cloaca
- Loop sigmoid colostomy was done
- Referred at age 5½ years for cloacal repair
- Chronic spillover of stool from loop colostomy, filling vagina and bladder with reflux, severe renal scaring
Follow Up:
- Patient developed satisfactory bowel control with assistance of enema washouts
- Self-catheterization was used for the urinary tract; patient was dry
- Renal failure occurred late, proceeding to dialysis and renal transplantation (an aunt as donor) at age 16
- Bleeding from the perineum began suddenly at night during sleep and she expired from it despite attempted resuscitation at a nearby community hospital
- Ultimate course was traced to gross damage to her urinary tract by feces from her loop colostomy and a delay of 3-plus years to have her reconstruction surgery (father was in the military and moving her from her birth city to a city far away, which delayed plans for her early repair)
Journal Article(s):
Repair of Cloacal Anomalies: Current Techniques
THP Source: