The woman had a rare condition which resulted in her bladder, vagina and rectum not separating normally during early developmental stages. A woman has become pregnant from anal sex in case which is believed to be one of the first recorded of its kind. While it would appear to be a medical impossibility, a US doctor has spoken of his surprise at discovering it had occurred to one of his patients. The woman was referred for surgery to correct this when she was younger as is standard treatment for cloaca cases. However the surgery was botched, resulting in her uterus being wrongly connected to her rectum.