Cloaca Anomaly

Also known as: cloaca, cloacal anomalies, cloacal malformation, cloacal abnormalities.

What is a cloaca anomaly?

It is a major malformation of the intestinal genital and urinary tracts in females. During development in the uterus, these structures do not divide properly resulting in the rectum, bladder and vagina all ending in a solitary channel which exits through a single opening orifice on the baby’s bottom (perineum).


What are the symptoms of cloaca?

These girls have only one orifice in the perineum, and if left untreated, this condition can lead to problems with urination and defecation, intestinal blockage or perforation, abdominal cysts, and urinary tract infections. Later in life, sexual function may be compromised.


What are persistent cloaca care options?

Cloaca anomalies are treated with a colostomy in infancy, followed by careful assessment and reconstruction, through the combined services of expert radiologists, pediatric surgeons and urologists. These complex surgeries are best done with the help of a multidisciplinary team such as the one available at the Nicklaus Children’s Colorectal Center.


Reviewed by: Juan L Calisto, MD

This page was last updated on: 11/12/2018 8:40:09 AM

From the Newsdesk

December Patient of the Month: Charlie

After surviving a high-risk pregnancy with a set of twins, the Strombom’s were faced with yet another complication. Their third child, an unborn baby named Charlie, was diagnosed with a congenital pulmonary airway malformation (CPAM) and underwent two in utero interventions to allow for a full and healthy gestation period. Once delivered, the LifeFlight team from Nicklaus Children’s Hospital was on stand-by to transport Charlie from West Palm Beach to Miami.

December Patient of the Month: Charlie

After surviving a high-risk pregnancy with a set of twins, the Strombom’s were faced with yet another complication. Their third child, an unborn baby named Charlie, was diagnosed with a congenital pulmonary airway malformation (CPAM) and underwent two in utero interventions to allow for a full and healthy gestation period. Once delivered, the LifeFlight team from Nicklaus Children’s Hospital was on stand-by to transport Charlie from West Palm Beach to Miami.