Cloacal malformations in the pediatric surgery department of Fez

Najib Chiboub; Tayeb Ben Tayeb; Othmane Alaoui; Abdelhalim Mahmoudi; Khalid Khattala; Youssef Bouabdallah

doi:10.30574/wjarr.2024.22.2.1354

Cloacal malformations in the pediatric surgery department of Fez

Najib Chiboub ^{1, 2, *}, Tayeb Ben Tayeb ^{1, 2}, Othmane Alaoui ^{1, 2}, Abdelhalim Mahmoudi ^{1, 2}, Khalid Khattala ^{1, 2}and Youssef Bouabdallah ^{1, 2}

¹ Department of pediatric surgery visceral and urology, Hassan II University Hospital of Fez, Morocco.

² Faculty of medicine, pharmacy and dental medicine, Sidi Mohamed Ben Abdellah University of Fes, Morocco.

Research Article

World Journal of AdvancedResearch and Reviews, 2024, 22(02), 398–404

Article DOI: 10.30574/wjarr.2024.22.2.1354

DOI url: https://doi.org/10.30574/wjarr.2024.22.2.1354

Publication history:

Received on 17 March 2024; revised on 04 May 2024; accepted on 06 May 2024

Abstract:

Introduction: Cloacal malformations, which exclusively occur in females. These anomalies are rare. The immediate prognosis depends mainly on the severity of the associated malformations and relies on the quality of the surgical repair.

Patients and methods: This is a retrospective descriptive study of 5 patients managed in the pediatric surgery department of the Hassan II University Hospital of Fez, during a 13-year period from January 2008 to January 2021.

Results: The diagnosis is made postnatally following systematic clinical examination in the delivery room, with only one case presenting with intestinal obstruction. The malformative assessment revealed: One case with cardiopathy, abnormal renal ultrasound findings in 3 cases (predominantly uretero-pyelocaliceal dilation), and spinal anomaly found in 2 cases, and abnormal MRI findings in 3 cases, while not performed in 2 cases.

Four contrast studies were performed after colostomy, revealing 2 rectovesical fistulas and 2 bilateral VUR (vesicoureteral reflux).

Immediate postoperative course was uneventful, with no dehiscence, stenosis, or obstruction noted. One patient died due to cardiac decompensation at 3 months of age. Long-term evolution was characterized by the presence of anal incontinence.

Conclusion: Cloacal malformation is a serious pathology, it can frequently lead to functional and vital prognosis without forgetting the psychological one. The prognosis depends mainly on the quality of management and the presence of associated malformations.

Keywords:

Cloacal malformation; Surgery; Management; VACTERL; Anal incontinence

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Cloacal malformations in the pediatric surgery department of Fez

Najib Chiboub 1, 2, *, Tayeb Ben Tayeb 1, 2, Othmane Alaoui 1, 2, Abdelhalim Mahmoudi 1, 2, Khalid Khattala 1, 2 and Youssef Bouabdallah 1, 2

Najib Chiboub ^{1, 2, *}, Tayeb Ben Tayeb ^{1, 2}, Othmane Alaoui ^{1, 2}, Abdelhalim Mahmoudi ^{1, 2}, Khalid Khattala ^{1, 2}and Youssef Bouabdallah ^{1, 2}