Transverse Colostomy | W. Hardy Hendren Pediatric Surgical and Urological Education Foundation

Female Patient, Age 3 Months, with Unusual Cloaca after Prior Right Transverse Colostomy (Hendren Patient Case)

Female patient, age 3 mo, with unusual cloaca
She had a prior right transverse colostomy

14-Month-Old Female Patient Referred for Cloacal Reconstruction (Hendren Patient Case)

14-month-old female patient referred in 1993 for cloacal reconstruction
Duodenal atresia had been repaired at birth, and right transverse colostomy
There was massive reflux bilaterally
Bilateral reimplants had been done at age 3 months, but massive reflux persisted

Infant Female Patient with Wide Urogenital Sinus Opening with Bladder Neck at Upper End, Double Diverging Vaginas, and Rectal Fistula Anterior to Vaginas (Hendren Patient Case)

Infant female referred in 1988 at 2 months after transverse colostomy elsewhere
Wide urogenital sinus opening with bladder neck at upper end, double diverging vaginas, and rectal fistula anterior to vaginas
A complex case that required unraveling the anatomy by radiology and cystoscopy to formulate a plan to reconstruct it

2-Year-Old Female Patient with Two Vaginas on Opposite Sides of the Urogenital Sinus (Hendren Patient Case)

2-year-old female with two vaginas on opposite sides of the urogenital sinus and required only a transverse colostomy at birth in Europe
She required colon to extend vagina to perineum

2-Week-Old Female Patient Referred After Transverse Colostomy (Hendren Patient Case)

2-week-old female infant in 1984, referred after transverse colostomy
Massive vesicoureteral reflux, causing severe bilateral hydronephrosis
Initial goal of surgery was to repair the urinary tract