Biomedical subjects
Publications and source records attributed to András Pintér.
The authors present a case of posterior cloaca in an 8-year-old girl. The diagnosis of this rare anomaly requires meticulous examination of the female genitalia and detailed radiological investigation. She underwent total urogenital mobilization (TUM) without opening the anal canal and the rectum. Eighteen months of follow up period she continues to have full bowel and urinary control with almost normal looking genitalia.
The authors present a case of an infant who was treated for recurrent vomiting following pyloromyotomy. Gastroscopic examination showed a polypoid tumour of 4-5 mm in diameter located at the antral region. The patient recovered following re-pyloromyotomy.
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The rarity of cloacal anomalies, the wide range of anatomical variants, and the number of different operations mean that successful management of a patient (neonate or child) with this condition is one of the greatest challenges for paediatric surgeons. The authors describe the complex corrections of 3 patients with cloacal malformation (age 10-13 years). The cloacal malformations were not diagnosed at neonatal age and therefore only the anorectal agenesis was corrected at the first stage. The authors strongly recommend that all components of this anomaly (urethra, vagina and anorectum) should be managed in one step. Because of the rarity and complexity of cloacal malformations, the anomaly should be operated on only in specialised centres.