Rectal Variations

The rectum can enter the UGS separate from and below the vagina, may enter the posterior wall of the

Vaginal Malformation

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Female Labia Majora

Fig. 10.1 Clinical aspects of cloacal malformations. A Almost normal-looking female genitalia. B Enlarged labia majora. C Male aspect of female genitalia (after drainage of hydrocolpos).

D Malformation of the labia majora. E Total malformation of the introitus; the labia majora are visible. F Labia majora not developed

Fig. 10.1 Clinical aspects of cloacal malformations. A Almost normal-looking female genitalia. B Enlarged labia majora. C Male aspect of female genitalia (after drainage of hydrocolpos).

D Malformation of the labia majora. E Total malformation of the introitus; the labia majora are visible. F Labia majora not developed vagina or the bladder, it can be positioned between and anterior to two vaginal openings, or run as a long fistula all along the posterior wall of the vagina down to the UGS. The rectal pouch at the upper end of the fistula is very high up in these cases, sometimes even above the peritoneal reflection (Fig. 10.4).

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