PMC6584906_01
Anterior and posterior views of infant perineum and vestigial appendage. A: anterior view of infant perineum showing duplicated external genitalia with two clitorises, a punctate opening in the right genitalia representing urethral opening and a partially formed accessory foot with 2 toes protruding from the right gluteal region. B: posterior view of the infant perineum showing the origin of the partially formed accessory foot with 2 toes from the right gluteal region deviating the gluteal cleft to the left along with anal atresia.
gr1.jpg
PMC6584906_01_gr1.jpg
fig0005
Her physical exam was notable for duplicated external genitalia with two clitorises, and a partially formed accessory foot with 2 toes protruding from the right gluteal region with intact reflexes (Fig. 1).
AP and lateral X-ray views of the infant chest and abdomen. A: AP X-ray view of infant's chest and abdomen showing accessory foot from the right gluteal region having rudimentary 2 metatarsals and phalanges (2 toes), duplication of labia and a fused sacral vertebral body. B: lateral X-ray view of infant's chest and abdomen showing accessory foot from the right gluteal region having rudimentary 2 metatarsals and phalanges (2 toes) and fused sacral vertebral body.
gr2.jpg
PMC6584906_01_gr2.jpg
fig0010
AP and lateral MRI views of infant showing massive hydrocolpos. A: AP MRI view of the infant showing hydrocolpos measuring 4.6 x 5.0 x 5.7 cm and causing severe mass effect on abdominal structures. B: lateral MRI view of the infant showing hydrocolpos causing severe mass effect on abdominal structures.
gr3.jpg
PMC6584906_01_gr3.jpg
fig0015