raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:93929

Cloacal exstrophy

Synonyms: OEIS complex · Omphalocele-cloacal exstrophy-imperforate anus-spinal defect syndrome

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Multigenic/multifactorial
Age of onset
Infancy, Neonatal
Status
active

A rare congenital genitourinary malformation characterized by urogenital, gastrointestinal, skeletal and neurospinal anomalies. It is the most severe part of the spectrum of the exstrophy-epispadias complex (EEC) and is also referred as the OEIS complex (omphalocele, exstrophy, imperforate anus and spinal defects).

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCloacal exstrophyOEIS complex · Omphalocele-cloacal exstrophy-imperforate anus-spinal defect syndrome
frExstrophie cloacaleComplexe OEIS · Syndrome d'omphalocèle-exstrophie cloacale-anus imperforé-anomalie spinale · Séquence OEIS · Séquence d'omphalocèle-exstrophie cloacale-anus imperforé-anomalie spinale
deKloakenekstrophieOEIS-Komplex · Omphalozele-Kloakenekstrophie-Anus imperforatus-Spinaldefekt-Syndrom
esExtrofia cloacalComplejo OEIS · Síndrome de onfalocele-extrofia cloacal-ano imperforado-defectos espinales
itEstrofia della cloacaComplesso OEIS · Onfalocele - estrofia della cloaca - ano imperforato - anomalie spinali
nlExstrofie van cloacaOEIS-complex · Omfalocele - cloacale exstrofie - anusatresie - spinaal defect-syndroom
ptExtrofia da cloaca
plWynicowanie kloakiKompleks OEIS · Przepuklina pępowinowa - wynicowanie kloaki - zarośnięcie odbytu - defect rdzenia
csKloakální extrofieOEIS komplex · Syndrom zahrnující pupeční kýlu, kloakální extrofii, anální atrézii a páteřní defekt
ukКлоакальна екстрофіяКомплекс ОЕІС · Синдром омфалоцеле-клоакальної екстрофії-імперфорованого ануса-спинномозкового дефекту
zh泄殖腔外翻脐膨出-泄殖腔外翻-肛门闭锁-脊柱缺损综合征
trKloakal ekstrofiOEIS kompleksi · Omfalosel-kloakal ekstrofi-imperforat anüs-spinal defekt sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM258040Evalidated
ICD-10Q64.1NTBTattributedvalidated
ICD-11LB17.3Especificvalidated
MONDO0009774Evalidated
MeSHC537748Evalidated
UMLSC1850321Evalidated
GARD4080Evalidated
MedDRA10067424Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

  • ORPHA:322Exstrophy-epispadias complex
    rare developmental anomalies during embryogenesis; rare genetic diseases; rare abdominal surgical diseases; rare urogenital diseases; rare renal diseases; rare transplant-related disorders
  • ORPHA:117573Syndromic anorectal malformation
    rare developmental anomalies during embryogenesis; rare genetic diseases; rare abdominal surgical diseases; rare transplant-related disorders

No children.

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Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

5 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.75 / 100 000EuropeValue and classNot yet validated19878548[PMID]
Point prevalence1-9 / 1 000 000—EuropeClass onlyNot yet validated19878548[PMID]
Prevalence at birth1-9 / 1 000 0000.6 / 100 000United StatesValue and classValidated17990338[PMID]
Prevalence at birth1-9 / 1 000 0000.5 / 100 000SpainValue and classValidated11251990[PMID]
Prevalence at birth1-9 / 1 000 0000.54 / 100 000WorldwideValue and classNot yet validated22002951[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

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HPO phenotypes

24 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000056Abnormality of the clitoris
HP:0002836Bladder exstrophy
HP:0010475Cloacal exstrophy
HP:0008736Hypoplasia of penis
HP:0001539Omphalocele
HP:0000076Vesicoureteral reflux
Frequent (79-30%)
HP:0002991Abnormal fibula morphology
HP:0002992Abnormality of tibia morphology
HP:0011301Absent foot
HP:0002023Anal atresia
HP:0002937Hemivertebrae
HP:0002827Hip dislocation
HP:0100668Intestinal duplication
HP:0002566Intestinal malrotation
HP:0002475Myelomeningocele
HP:0002414Spina bifida
HP:0001762Talipes equinovarus
Occasional (29-5%)
HP:0011027Abnormality of the fallopian tube
HP:0000086Ectopic kidney
HP:0000085Horseshoe kidney
HP:0000072Hydroureter
HP:0008678Renal hypoplasia/aplasia
HP:0000070Ureterocele
HP:0000074Ureteropelvic junction obstruction

Run the differential on the 6 obligate / very frequent terms

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Sources for this card