Penile Duplication and Two Anal Openings; Report of a Very Rare Case


Mohammad Refaei 1 , Mohamed Abdel Al M. Bakheet 2 , *

1 Pediatric Surgery Division, Arar Central Hospital, Kingdom, Saudi Arabia

2 Pediatrics, Sohag University Hospital, Sohag Faculty of medicine, Upper, Egypt

How to Cite: Refaei M, Al M. Bakheet M A. Penile Duplication and Two Anal Openings; Report of a Very Rare Case , Iran J Pediatr. 2016 ; 22(1):133-136.


Iranian Journal of Pediatrics: 22 (1); 133-136
Published Online: March 31, 2012
Article Type: Case Report
Received: November 15, 2010
Accepted: July 20, 2011


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.




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