{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:04Z","timestamp":1756425844010,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,4]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Persistent cloaca is a rare and severe variety of anorectal malformation, which is more common in females and includes a spectrum of abnormalities. The urinary tract, genital tract and rectum open into a common channel, which exteriorises as a single perineal opening. We are reporting a patient with a novel variation in the classical anatomy of the cloaca. The child has a short blind-ending colon with a cecovesical fistula associated with mullerian agenesis and lipomyelomeningocoele. The child is being managed in a stepwise approach and she has completed the anal reconstruction. Here, we discuss this novel variation in anatomy and challenges in its management.<\/jats:p>","DOI":"10.1136\/bcr-2020-236364","type":"journal-article","created":{"date-parts":[[2021,3,5]],"date-time":"2021-03-05T13:28:56Z","timestamp":1614950936000},"page":"e236364","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Single perineal opening with \u2018H-type\u2019 cecovesical fistula and blind-ending foreshortened distal colon: a new variant of persistent cloaca"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2835-8146","authenticated-orcid":false,"given":"Rahul","family":"Saxena","sequence":"first","affiliation":[{"name":"Pediatric Surgery, All India Institute of Medical Sciences Jodphur, Jodhpur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manish","family":"Pathak","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, All India Institute of Medical Sciences Jodphur, Jodhpur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Sinha","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, All India Institute of Medical Sciences Jodphur, Jodhpur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0264-7727","authenticated-orcid":false,"given":"Jayakumar Kesavulu","family":"Thummalapati","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, All India Institute of Medical Sciences Jodphur, Jodhpur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,4]]},"reference":[{"key":"2025082803573205000_14.3.e236364.1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199809000-00006"},{"key":"2025082803573205000_14.3.e236364.2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(92)90393-L"},{"key":"2025082803573205000_14.3.e236364.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2003.11.033"},{"key":"2025082803573205000_14.3.e236364.4","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1053\/j.sempedsurg.2009.11.012","article-title":"Cloacal malformations: lessons learned from 490 cases","volume":"19","author":"Levitt","year":"2010","journal-title":"Semin Pediatr Surg"},{"key":"2025082803573205000_14.3.e236364.5","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1053\/j.sempedsurg.2015.11.006","article-title":"Gynecologic concerns in patients with cloacal anomaly","volume":"25","author":"Breech","year":"2016","journal-title":"Semin Pediatr Surg"},{"key":"2025082803573205000_14.3.e236364.6","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1007\/s00383-019-04513-1","article-title":"Gynecological anomalies in patients with anorectal malformations","volume":"35","author":"Fanjul","year":"2019","journal-title":"Pediatr Surg Int"},{"key":"2025082803573205000_14.3.e236364.7","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000086702.87930.c2"},{"key":"2025082803573205000_14.3.e236364.8","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1111\/j.1471-0528.2007.01547.x","article-title":"Surgical approaches to treating vaginal agenesis","volume":"114","author":"Michala","year":"2007","journal-title":"BJOG"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-236364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:57:36Z","timestamp":1756378656000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-236364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,4]]},"published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1136\/bcr-2020-236364"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-236364","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}