{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T00:20:32Z","timestamp":1763166032210,"version":"3.45.0"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":301,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European J Pediatr Surg Rep."],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A posterior cloacal variant is a congenital malformation where a urogenital sinus terminates anterior to a normally placed anus. These are rare malformations with highly variable anatomy. We report on three cases of a novel phenotype of posterior cloaca encountered at our institutions between October 2021 and November 2023. Three newborn girls were referred with ambiguous external genitalia and an anorectal malformation. In all cases, a midline sac, which is likely fused labioscrotal folds, replacing the clitoris was noted anterior to the perineal orifices. Two of the three patients demised as a result of renal failure. The third patient underwent reconstruction and is well. This posterior cloacal phenotype appears to be frequently associated with severe renal insufficiency. In survivors of the neonatal period, a good cosmetic outcome is achievable. Functional outcomes remain to be assessed.<\/jats:p>","DOI":"10.1055\/a-2733-3072","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T23:43:01Z","timestamp":1761781381000},"page":"e66-e71","source":"Crossref","is-referenced-by-count":0,"title":["Unveiling a Unique Posterior Cloaca Variant: Expanding the Spectrum"],"prefix":"10.1055","volume":"13","author":[{"given":"Tarlia Rasa","family":"Govender","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Nelson Mandela Children's Hospital, Johannesburg, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5869-252X","authenticated-orcid":false,"given":"Emanuele","family":"Trovalusci","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Chris Hani Baragwanath Hospital, Johannesburg, Gauteng Province, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Theron","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, Gauteng Province, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Westgarth-Taylor","sequence":"additional","affiliation":[{"name":"Pediatric Colorectal and Urogenital Program, Baylor College of Medicine, Houston, Texas, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5449-7820","authenticated-orcid":false,"given":"Giulia","family":"Brisighelli","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Chris Hani Baragwanath Hospital, Johannesburg, Gauteng Province, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1016\/j.jpedsurg.2010.02.095","article-title":"Posterior cloaca\u2014further experience and guidelines for the treatment of an unusual anorectal malformation","volume":"45","author":"A Pe\u00f1a","year":"2010","journal-title":"J Pediatr Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/S0022-3468(98)90079-3","article-title":"Posterior cloaca: a unique defect","volume":"33","author":"A Pe\u00f1a","year":"1998","journal-title":"J Pediatr Surg"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1002\/ajmg.1510","article-title":"Partial urorectal septum malformation sequence: a report of 25 cases","volume":"103","author":"P G Wheeler","year":"2001","journal-title":"Am J Med 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Studies","author":"M Levitt","year":"2024"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.7196\/SAJCH.2024.v18i2.1583","volume-title":"Are end colostomies always contraindicated in anorectal malformations?","author":"G Brisighelli","year":"2024"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"e46","DOI":"10.1055\/s-0041-1728724","article-title":"Posterior cloacal variant with clitorolabial transposition and a rectoperineal fistula","volume":"9","author":"N Maistry","year":"2021","journal-title":"European J Pediatr Surg Rep"}],"container-title":["European Journal of Pediatric Surgery 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