{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:58:57Z","timestamp":1755223137621,"version":"3.43.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,1,6]]},"abstract":"<jats:p>Cloacal dysgenesis sequence (CDS) is a rare congenital anomaly. It is characterised by a smooth perineum with absence of anal and genitourinary orifices, with reported incidence of 1:50\u2005000\u2013250\u2005000 births. Association with bilateral renal agenesis is still rarer and resultant severe oligohydramnios is associated with pulmonary hypoplasia. Only a few cases of CDS with bilateral renal agenesis have been reported in the English language literature, with associated pulmonary hypoplasia as a default phenomenon. We report a case of CDS and bilateral renal agenesis without associated pulmonary hypoplasia in a twin pregnancy, which, to the best of our knowledge, is the second reported case of this amalgamation.<\/jats:p>","DOI":"10.1136\/bcr-2015-214130","type":"journal-article","created":{"date-parts":[[2016,2,14]],"date-time":"2016-02-14T21:09:17Z","timestamp":1455484157000},"page":"bcr2015214130","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Cloacal dysgenesis sequence with bilateral renal agenesis and normal pulmonary development in twin pregnancy"],"prefix":"10.1136","volume":"2016","author":[{"given":"Sundram","family":"Jegadeesh","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jai Kumar","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,1,20]]},"reference":[{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.1","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/S0140-6736(87)92332-4","article-title":"Fetal breathing movements as predictor of favourable pregnancy outcome after oligo-hydramnios due to membrane rupture in second trimester","volume":"2","author":"Blott","year":"1987","journal-title":"Lancet"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1987.04460090098038"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.3","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1253388"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(78)81092-0"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.5","doi-asserted-by":"publisher","DOI":"10.1002\/tera.1420090113"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.6","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.1510"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.7","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-8628(19971231)73:4<456::AID-AJMG15>3.0.CO;2-Q"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.8","doi-asserted-by":"publisher","DOI":"10.1007\/BF02825821"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-4520.2008.00200.x"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.10","doi-asserted-by":"publisher","DOI":"10.1002\/tera.1420290204"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.11","doi-asserted-by":"crossref","first-page":"E31","DOI":"10.1016\/j.jpedsurg.2009.09.029","article-title":"Long-term survival and renal transplantation in a monozygotic twin with cloacal dysgenesis sequence","volume":"44","author":"Mukhtar","year":"2009","journal-title":"J Pediatr Surg"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.12","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-005-1630-2"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.13","doi-asserted-by":"publisher","DOI":"10.1159\/000020808"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.14","first-page":"534","article-title":"A syndrome of multiple congenital malformations with absent external genitalia, urethral and anal openings in one of twins","volume":"21","author":"Sinniah","year":"1980","journal-title":"Singapore Med J"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.15","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-011-3020-3"},{"key":"2025081105001459000_2016.jan20_1.bcr2015214130.16","doi-asserted-by":"publisher","DOI":"10.1002\/pd.768"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-214130","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T12:00:22Z","timestamp":1754913622000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-214130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,20]]},"references-count":16,"alternative-id":["10.1136\/bcr-2015-214130"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-214130","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,1,20]]}}}