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Pediatric Surgery International

, Volume 18, Issue 5–6, pp 532–534 | Cite as

Mucosal-lined hemiperineal anomaly possibly caused by antenatal rupture of a caudal duplication

  • Gordon Thomas
  • Sudipta Sen
  • Ninan Zachariah
  • Jacob Chacko
Case report

Abstract.

In a 1-month-old infant with a mucosal-line left hemiperineal defect associated with penoscrotal hypospadias, penoscrotal transposition (PST) and an overhanging caudal skin-covered soft-tissue flap resembling a caudal appendage, perineal anatomy could be restored by excising the mucosa and using the overhanging flap to cover the resultant defect. The PST was corrected at the same time. Squamous, gastric, small-intestinal, and respiratory epithelia were present histologically in the mucosa in addition to adjacent cartilaginous elements. A caudal duplication that had ruptured in utero through the hemiperineum could explain the anomaly.

Rectal duplication Hemiperineal anomaly Caudal appendage Antenatal rupture 

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Copyright information

©  2002

Authors and Affiliations

  • Gordon Thomas
    • 1
  • Sudipta Sen
    • 1
  • Ninan Zachariah
    • 1
  • Jacob Chacko
    • 1
  1. 1.Department of Pediatric Surgery, Christian Medical College Hospital, Vellore 632004, Tamil Nadu, India

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