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Question:
Kollannoor B*, Corbett H**, Nayak S*, Patel N*, Abdelaziz M*
*Department of Pediatrics, St Helens and Knowsley NHS Teaching Hospitals, ** Department of Pediatrics, Alder Hey Children's NHS Foundation Trust

Address for correspondence: Dr Maysara Abdelaziz, Consultant Pediatrician, St Helens & Knowsley NHS trust, Warrington Road, Prescot, Liverpool L35 5DR, UK. Email: Maysara.Aziz@sthk.nhs.uk

Case 1: A 6 week old baby girl presented with urinary tract infection (UTI). At 11 weeks she had a second UTI associated with E. coli septicemia. Her renal ultrasound showed left sided pyelonephritis and her micturating cystourethrogram (MCUG) (Figure 1) was reported to show a urogenital sinus. A pediatric urologist identified the vaginal and urethral openings, ruling out urogenital sinus.

Case 2: A term baby had mild left hydronephrosis on antenatal and postnatal renal ultrasound scans. Her MCUG was reported to show vesico-ureteric reflux (VUR). However there was a contrast filled structure be-hind the bladder extending to the perineum, with wide and round end with filling defect in the dome (Figure 2). A pediatric urologist identified both urethral and vaginal openings on examination.

What is the diagnosis_?

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