Cloacal malformations are rare, complex inhibitional anomalies of earl
y embryogenesis. We report a patient with a cloacal malformation in wh
ich a septate vagina and a rectal fistula emptied through a common ori
fice onto an ex-strophic bladder plate. Additional anomalies included
an omphalocele and malformations of the upper urinary tract and the lo
wer extremities, skeleton, and vertebral column.