Houas Yasmine, Thamri Fatma, Guitouni Asma, Jouini Riadh
Pediatric Surgery Department "A", Children Hospital Bechir Hamza, Tunis, Tunisia.
Tunis El Manar University, Tunis, Tunisia.
Urol Case Rep. 2025 Aug 26;62:103179. doi: 10.1016/j.eucr.2025.103179. eCollection 2025 Sep.
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.