15-Year-Old Female Patient Referred for Cloacal Repair (Hendren Patient Case)

Case Overview: 
  • 15-year-old female patient referred in 1981 for cloacal repair
  • Work up at birth at two University Centers concluded patient had female pseudohermaphroditism without endocrine cause
  • Prior surgery was cutback of UGS and laparotomy to view (normal) pelvic organs.
Follow Up: 
  • Patient had normal urine control after enlarging vaginal introitus, no longer having vaginal filling on micturition with dripping out of urine contained in vagina
  • Normal bowel control unless diarrhea occurred
  • Patient was able to become pregnant; Cesarean section was elected by the obstetrician
  • Surgical misadventure resulted in perceived need for immediate hysterectomy, which was performed
  • Baby was fine
  • Mother had Disseminated Intravascular Coagulation and nearly expired, but recovered
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