Abstract
Cloacal malformations are a rare and complex group of anomalies resulting from faulty or incomplete separation of female genitourinary and anorectal systems. These encompass a wide spectrum of anomalies with varied clinical features, radiological imaging findings, and surgical management. They are frequently associated with spinal, cardiac, and respiratory tract abnormalities. Multidisciplinary teamwork is essential for achieving the best possible outcome in these patients. This article aims to provide a comprehensive analysis of cloacal malformations with review of current literature and discussion of relevant embryology, highlighting various classification systems and describing the role of imaging in diagnosis and preoperative planning, along with insights into management and surgical options.