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CASE REPORT
Year : 2016  |  Volume : 30  |  Issue : 1  |  Page : 64-66

Embryological analysis of a case of exstrophy of the cloaca


Department of Anatomy, Regional Institute of Medical Sciences (RIMS), Imphal, Manipur, India

Correspondence Address:
Chongtham Rajlakshmi
Department of Anatomy, Regional Institute of Medical Sciences (RIMS), Imphal - 795 001, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958.175858

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A case is reported here of a stillborn fetus of about 21 weeks of gestation that was collected from the Department of Obstetrics and Gynecology, Regional Institute of Medical Sciences (RIMS), Imphal, Manipur, India. The weight of the fetus was around 350 g. Crown rump (CR) length was not taken because of spine deformity and, therefore, the foot length, which measured 3.3 cm, was used to determine the age of the fetus. External examination of the fetus revealed an enormous defect in the anterior abdomen wall (omphalocele). The umbilical cord was attached on the right side of omphalocele. Incision of the membranous sac revealed liver, coils of intestine, and a muscular sac herniating through the defect in the abdominal wall. Further exploration of the abdomen showed continuity of the large intestine and ureters to the muscular sac. The sac is the cloaca. Exstrophy of the cloaca is a rare developmental anomaly involving the urinary bladder and the distal part of the digestive tract. This case report discusses the embryological background of the development of exstrophy of the cloaca and is reported because of the association of complete absence of external genitalia.


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