Cloacal exstrophy: a rare and complex anomaly.

ABSTRACT

Cloacal exstrophy is a very rare and complicated birth defect. It occurs once in every 200,000 births. It is a complex anomaly of the urogenital tract and intestinal tract resulting in exstrophy of both bowel and bladder; the most severe form of anomaly is in the exstrophy–epispadias complex. Its features include omphalocele, imperforate anus and exstrophy of two hemibladders, between which lies the everted cecum. A small colon ends blindly in the pelvis, and the terminal ileum often prolapses out of the exposed cecum. We are reporting a case of cloacal exstrophy with lumbosacral meningomyelocoele and deformity of left foot which was managed successfully.