{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T22:33:50Z","timestamp":1789166030126,"version":"build-2803163510"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Pediatric Health"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cloaca is a common excretory channel for the genital, urinary, and gastrointestinal tracts. It is considered a severe anorectal malformation caused by failed partitioning of the genital, rectal, and urinary tracts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We report 5 infants with cloaca at birth who were identified prenatally by one or more of the following on prenatal ultrasound (US): ambiguous genitalia, a cystic pelvic\/abdominal mass, hydronephrosis, ascites, a single umbilical artery, and oligohydramnios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A cystic pelvic\/abdominal mass and ambiguous genitalia were each observed in 3 cases by prenatal US. Ambiguous genitalia was observed in all 5 neonates at birth. There were 2 twin pregnancies (dichorionic\/diamniotic and monochorionic\/monoamniotic), with only 1 twin in a set affected with cloaca.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Pediatricians should be alert to the prenatal US findings that may raise suspicion of a persistent cloaca to improve both prenatal counseling and family preparation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2333794x20958929","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T06:40:33Z","timestamp":1600843233000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Challenges in the Prenatal Diagnosis of Cloaca"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1526-4063","authenticated-orcid":false,"given":"Lisa B.E.","family":"Shields","sequence":"first","affiliation":[{"name":"Norton Neuroscience Institute, Norton Healthcare, Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey T.","family":"White","sequence":"additional","affiliation":[{"name":"Norton Children\u2019s Urology, Norton Healthcare, Louisville, KY, USA"},{"name":"University of Louisville School of Medicine, Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis S.","family":"Peppas","sequence":"additional","affiliation":[{"name":"Norton Children\u2019s Urology, Norton Healthcare, Louisville, KY, USA"},{"name":"University of Louisville School of Medicine, Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eran","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"Norton Children\u2019s Urology, Norton Healthcare, Louisville, KY, USA"},{"name":"University of Louisville School of Medicine, Louisville, KY, 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