Abstract
Colorectal decompression with a catheter was performed for evacuation of stool before definitive surgery in two patients with a persistent cloaca. Two newborn female infants with persistent cloaca received placement of a silicone balloon-tipped catheter in the rectum via the cloacal orifice under fluoroscopic guidance at the time of diagnosis. The length of the cloaca was 2 and 1.5 cm, respectively. The diameter of the catheter was matched to the patients’ rectal size and the open end was wrapped in a diaper to allow continuous drainage of stool. The infants underwent bowel irrigation with warm saline thrice a day, at home. Total urogenital mobilization was carried out in the infants at the age of 7 and 8 months, respectively. Both infants had no abdominal distension, colorectal dilatation, or urinary tract infection while the catheter was in situ. The postoperative course was uneventful, except for minimal wound dehiscence in one patient. At present, both infants can void spontaneously without any urological problems. In infants with a persistent cloaca less than 3 cm long and normal urinary tract function, adequate evacuation of stool may be achieved by colorectal decompression with a catheter, thus avoiding the need for a colostomy.
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Pena A (1997) Total urogenital mobilization—an easier way to repair cloaca. J Pediatr Surg 32:263–268
Pena A (1989) The surgical management of persistent cloaca: result in 54 patients treated with a posterior sagittal approach. J Pediatr Surg 24:590–598
Hendren WH (1992) Cloacal malformations: experience with 105 cases. J Pediatr Surg 27:890–901
Pena A, Levitt MA, Hong AR et al (2004) Surgical management of cloacal malformations: a review of 339 patients. J Pediatr Surg 39:470–479
Levitt MA, Pena A (2005) Pitfalls in the management of newborn cloacas. Pediatr Surg Int. DOI 10.1007/s00383–005–1380–2
Herek O (2001) A new colonic lavage method for infants with Hirschsprung’s disease. Pediatr Surg Int 17:671
Teeraratkul S (2003) Transanal one-stage endorectal pull-through for Hirschsprung’s disease in infants and children. J Pediatr Surg 38:184–187
Pena A (1995) Anorectal malformations. Semin Pediatr Surg 4:35–47
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Masuko, T., Higashimoto, Y. & Iwai, J. Single-stage operation without temporary colostomy for persistent cloaca with a short common channel. Ped Surgery Int 21, 922–924 (2005). https://doi.org/10.1007/s00383-005-1512-8
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DOI: https://doi.org/10.1007/s00383-005-1512-8