Patient Case Discussion
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- 2-day-old female is admitted with bilious emesis, abdominal distention and failure to pass meconium. 
 
- Birth weight was 3.5 kg. 
 
- On physical exam she was noted to have a single perineal orifice. 
 
      
      
    
    
- 18-month-old female patient was referred in June 1986 with a very complex cloacal problem
 
- Prior surgery had been colostomy, vesicostomy, and a shunt for Tetralogy of Fallot