{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:04:18Z","timestamp":1785420258309,"version":"3.56.0"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T00:00:00Z","timestamp":1621296000000},"content-version":"vor","delay-in-days":137,"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":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Cloacal exstrophy is a rare malformation that presents as a lower midline abdominal wall defect which affects the gastrointestinal and genitourinary systems. The components of cloacal exstrophy characteristically include omphalocele, exstrophy of perineal structures, and imperforate anus. Most of these patients also have renal anomalies such as pelvic kidney, fused kidneys, or solitary kidneys. This congenital condition can also be associated with spinal issues, such as spinal dysraphism. When combined with spinal defects, it is referred to as the omphalocele, exstrophy, imperforate anus, and spinal defects (OEIS) complex, and is one of the most challenging surgical conditions to manage. Here, we present a unique case of a low-birth-weight patient with OEIS and a liver containing giant omphalocele and the novel surgical technique used to manage her cloacal exstrophy whereby the cecal plate was not separated from the bladder halves, but rather left for an autoaugment, and the ileum was connected to the hindgut.<\/jats:p>","DOI":"10.1055\/s-0041-1728719","type":"journal-article","created":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T23:19:12Z","timestamp":1621379952000},"page":"e41-e45","source":"Crossref","is-referenced-by-count":3,"title":["A Novel Surgical Approach for the Management of Cloacal Exstrophy with a Giant Omphalocele"],"prefix":"10.1055","volume":"09","author":[{"given":"Caitlin A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of General and Thoracic Surgery, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R.","family":"Avansino","sequence":"additional","affiliation":[{"name":"Department of General and Thoracic Surgery, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Merguerian","sequence":"additional","affiliation":[{"name":"Department of Urology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Lane","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Great North Children's Hospital, Royal Victoria Infirmary, Newcastle, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Levitt","sequence":"additional","affiliation":[{"name":"Division of Colorectal and Pelvic Reconstructive Surgery, Children's National Hospital, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,5,18]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/S0090-4295(84)90034-7","article-title":"Cloacal exstrophy","volume":"23","author":"R C Flanigan","year":"1984","journal-title":"Urology"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/S0022-5347(17)60530-5","article-title":"Management of infants with cloacal exstrophy","volume":"109","author":"C Markland","year":"1973","journal-title":"J Urol"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.jpurol.2009.09.011","article-title":"Cloacal exstrophy: a comprehensive review of an uncommon problem","volume":"6","author":"L L Woo","year":"2010","journal-title":"J Pediatr Urol"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.jpurol.2006.10.007","article-title":"In vitro fertilization and the cloacal\/bladder exstrophy-epispadias complex: a continuing association","volume":"3","author":"H M Wood","year":"2007","journal-title":"J Pediatr Urol"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1093\/humrep\/deq313","article-title":"Use of clomiphene citrate and birth defects, National Birth Defects Prevention Study, 1997-2005","volume":"26","author":"J Reefhuis","year":"2011","journal-title":"Hum Reprod"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1016\/j.jpedsurg.2009.02.060","article-title":"Omphalocele: how big does it have to be a giant one?","volume":"44","author":"B A Campos","year":"2009","journal-title":"J Pediatr Surg"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.jpedsurg.2007.09.039","article-title":"Cloacal exstrophy--pull-through or permanent stoma? A review of 53 patients","volume":"43","author":"M A Levitt","year":"2008","journal-title":"J Pediatr Surg"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1053\/jpsu.2000.6928","article-title":"Cloacal exstrophy: a unified management plan","volume":"35","author":"S Z Soffer","year":"2000","journal-title":"J Pediatr Surg"},{"key":"ref9","volume-title":"Proposal of a New Technique in the Newborn Management of Cloacal Exstrophy Based on a Case Presentation","author":"V A Lane","year":"2015"}],"container-title":["European Journal of Pediatric Surgery Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1728719.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T23:19:35Z","timestamp":1621379975000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1728719"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":9,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,1,27]]},"published-print":{"date-parts":[[2021,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1728719","relation":{},"ISSN":["2194-7619","2194-7627"],"issn-type":[{"value":"2194-7619","type":"print"},{"value":"2194-7627","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}