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Summary
We report a case of 21-year-old young woman with congenital cloacal malformation. She was operated at the age of 1.5 years separating the rectum from common opening as a two-stage repair. She was incontinent in the earlier part of her life but she became continent to some extent later in early adulthood. She presented with urinary stress incontinence following delivery of dead fetus of 6 months. She underwent multiple investigations revealing common opening of bladder neck and vagina. A multidisciplinary evaluation was done and she underwent closure of common channel and neourethra reconstruction using pedicled appendix. Patient was continent and voiding by herself on discharge.
- paediatrics
- drugs and medicines
- surgery
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Footnotes
Contributors We certify that we have participated adequately in the intellectual content, conception and design of this work as well as the writing of the manuscript. We take public responsibility for the piece of work and have agreed to have our name listed as a contributor. We believe the manuscript represents valid work. Neither this manuscript nor any other manuscript with substantially similar content under our authorship has been published or is being considered for publication elsewhere, except as described in the cover letter. We certify that all the data collected during the study has been presented in this manuscript and that no data from the study has been or will be published separately. We attest that, if requested by the editors, we will provide required information and will cooperate fully in obtaining and providing the information on which the manuscript is based, for examination purposes by the editors or their assignees. We hereby transfer, assign or otherwise convey all copyright ownership, including any and all rights incidental thereto, exclusively to the BMJ case reports, in the event that such work is published by the BMJ case reports. The BMJ case reports shall own the work, including (1) the copyright, (2) the right to grant permission to republish the article in whole or in part, with or without a fee, (3) the right to produce preprints or reprints and translate into languages other than English for sale or free distribution and (4) the right to republish the work in a collection of articles in any other mechanical or electronic format. All mentioned authors were involved in the conception and design, analysis and interpretation of the data. They were involved in drafting the article and revisiting it critically for important intellectual content. DKP, SG and SB were involved in final approval of the version published. All mentioned authors were agreed for accountability of the article and ensure that all questions regarding the accuracy and integrity of the article were investigated and resolved. We give the right to the corresponding author to make necessary changes according to the request of the journal, do the rest of the correspondence on our behalf and act as the guarantor for the manuscript on our behalf. If we do not include an acknowledgement, it means that we have not received substantial contribution from such persons and that the name of no contributor has been omitted. Name of contributors: SG, BK, SB and DKP.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.