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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406 EISSN: 1018-4406
Vol. 22, No. 1, 2012, pp. 133-136
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Bioline Code: pe12024
Full paper language: English
Document type: Case Report
Document available free of charge
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Iranian Journal of Pediatrics, Vol. 22, No. 1, 2012, pp. 133-136
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Penile Duplication and Two Anal Openings; Report of a Very Rare Case
Al M. Bakheet, Mohamed Abdel & Refaei, Mohammad
Abstract
Background: Penile duplication (diphallus) is an extremely rare disorder. It is almost always associated
with other malformations like double bladder, exstrophy of the cloacae, imperforate anus, duplication of the
rectosigmoid and vertebral deformities. Meanwhile anal canal duplication, the most distal and least common
duplication of the digestive tube and is a very rare congenital malformation.
Case Presentation: A 21 days old Egyptian neonate is reported with complete penile duplication and two
scrotums with each one carrying two palpable testes. Both penises have normal shaft with normally located
meatus. Clear urine voids from both meati spontaneously. The child had also a fold of redundant skin about
4×5 cm at the anal region in which two separate anal openings are present. In rectal examination we found
two normal anuses passing stool spontaneously. Ascending (voiding) cystourethrography revealed two
penises with two separate meatuses and one bladder from which the two urethras go out separately.
Intravenous pyelogram (IVP) revealed two normal kidneys and ureters. Barium study revealed duplication of
rectum and colon, otherwise normal GIT.
Conclusion: In our review of the literature, we did not come across any other case of this variety of the penile
duplication and congenital presence of two anuses. Unfortunately the patient expired before any surgical
correction.
Keywords
Diphallia; Double Anus; Penile Duplication; Malformation
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© Copyright 2012 - Iran Journal of Pediatrics Alternative site location: http://diglib.tums.ac.ir/pub/
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