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MRI in evaluation of cyclical hematuria: A rare case of persistent cloaca with Mullerian duct anomaly

Persistent cloaca refers to an abnormal termination of the urinary, genital, and alimentary tracts into a common channel with a single perineal opening. Between the fourth and seventh weeks of embryonic development, fusion of the urorectal septum with the cloacal membrane divides the cloaca into separate tracts. Failure of fusion leads to persistent cloaca.[1] Approximately 50% of reported cases have other associated congenital abnormalities.[2] Of these, Mullerian duct anomaly is one of the most frequently observed.[3] Accurate diagnosis of these associated anomalies before performing definitive surgery is essential in achieving a good quality of life for the child.