- 2-year-old girl seen in 1979 with total urinary incontinence and a loop colostomy performed at birth in South America
- 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
- 4-year-old female patient with very unusual cloacal anatomy was referred in 1989
- Divided loop colostomy had been done at birth and remained
- There was urinary incontinence as well