A rare case of complex perineal anomaly in a male neonate: Multistage surgical management.

We present a rare case of a full-term male neonate with a complex perineal anomaly featuring a mucosa-lined cleft extending from the penile base to the right gluteal fold, accompanied by penoscrotal transposition, hemiscrotal hypoplasia, and hypospadias. The lesion's anatomical and histological characteristics suggest antenatal rupture of a rectal duplication cyst. This report highlights the diagnostic challenges of exteriorized rectal duplications and underscores the importance of multistage reconstruction for optimal functional and cosmetic outcomes.