A Case of Complete Urorectal Septum Malformation Sequence: Successful Vesicoamniotic Shunting for Obstructive Uropathy
Bibliographic record
Abstract
Complete urorectal septum malformation (URSM) sequence is a severe malformation affecting the urinary, genital and alimentary tracts. It is highly lethal due to severe renal dysfunction and pulmonary hypoplasia. Here we present a case of complete URSM sequence, where vesicoamniotic shunts were placed during midtrimester for obstructive uropathy. A 29-year-old woman was found to have a fetal abdominal cyst at 10 +6 weeks of gestation. Obstructive uropathy was diagnosed and a vesicoamniotic shunt was placed at 14 +3 and 20 +0 weeks of gestation. Subsequent ultrasound findings were suggestive of URSM sequence. The infant was delivered by cesarean section at 34 +6 weeks of gestation, and complete URSM sequence was diagnosed after birth. Obstetricians should be attentive to the possibility of complete URSM sequence when prominently dilated lower abdominal cyst is detected by ultrasonography. This case is indicative of the usefulness of vesicoamniotic shunting for obstructive uropathy of complete URSM sequence. J Clin Gynecol Obstet. 2014;3(3):117-120 doi : http://dx.doi.org/10.14740/jcgo283w
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.005 | 0.003 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".