Evidence map›Paper›PMID 37971531›Full record

ArticlePediatric surgery international2023

Fetal ascites in cloacal malformations-a red flag.

Sherif Abdelmaksoud, Sara Lobo, Alexander Cho, Anand Upasani, Simon Blackburn, Joe Curry, Brian Davies, Ruppert Martin, Gunter De Win, Abraham Cherian

Abstract read
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Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 65% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Sherif AbdelmaksoudDepartment of Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Sara LoboDepartment of Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Alexander ChoDepartment of Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Anand UpasaniDepartment of Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Simon BlackburnDepartment of Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Joe CurryDepartment of Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Brian DaviesDepartment of Paediatric Surgery, Nottingham Childrens Hospital, Nottingham, UK.
Ruppert MartinDepartment of Urology & Paediatric Surgery, University Hospital, Antwerp, Belgium.
Gunter De WinDepartment of Urology & Paediatric Surgery, University Hospital, Antwerp, Belgium.
Abraham CherianDepartment of Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK. abraham.cherian@gosh.nhs.uk.
Great Ormond Street Hospital for Children NHS Foundation Trust · GBAntwerp University Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCloacal malformation is a rare anomaly that remains a diagnostic challenge prenatally, despite the current advances in ultrasonography and MRI. This condition can in some, present with isolated ascites or with other findings, such as a pelvic cyst or upper urinary tract dilatation. In a minority, the ascites may be progressive, questioning the role of antenatal intervention.

methodsWe report on ten patients that have been identified from our Cloaca database between 2010 and 2022.

resultsThe presence of ascites was associated with extensive bowel adhesions and matting, leading to a challenging initial laparotomy and peri-operative course.

conclusionsAntenatal finding of ascites in newborns with cloacal malformations should raise a red flag. The surgeon and anaesthetist should be prepared for the operative difficulties secondary to bowel adhesions and the higher risk of haemodynamic instability at the initial surgery. An experienced team at initial laparotomy in such patients is vital. LEVEL OF EVIDENCE: II.

Indexed as

AscitesCloacaAnimalsFemaleHumansInfant, NewbornMagnetic Resonance ImagingPregnancyUltrasonographyUltrasonography, PrenatalAdhesionsAntenatalAscitesCloacaHydrocolposStoma

Identifiers

PMID37971531
OpenAlexW4388733559

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.