Gynecological anomalies in patients with anorectal malformations

Retrospective MRI study of 63 female ARM patients reveals 50% have müllerian anomalies, with significantly higher rates in complex malformations (80% in cloaca) versus simple types (22%). Uterus didelphys and longitudinal vaginal septum are most common; vaginal anomalies predict concurrent uterine defects in all cases.