Abstract
A 15-year-old girl, who had been experiencing right lower abdominal pain for 24 h, visited our emergency department. She had a history of cloacal anomalies, including duplication of the vagina and uterus, for which she underwent rectal and vaginal reconstruction at the age of 1 year. Coexisting anomalies included left kidney agenesis, neurogenic bladder with right grade I vesicoureteral reflux, and tetralogy of Fallot after corrective repair. She has been receiving clean intermittent catheterization for neurogenic bladder since the age of 2 years.
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