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European Journal of Pediatric Surgery Reports

https://read.qxmd.com/read/36911852/endobronchial-inflammatory-myofibroblastic-tumor-in-a-3-year-old-child
#21
Riccardo Guanà, Andrea Carpino, Marta Miglietta, Elisa Zambaiti, Alessia Cerrina, Luca Lonati, Francesco Guerrera, Stefano Vallero, Salvatore Garofalo, Marco Bardessono, Francesca Maletta, Steffi Shilly, Fabrizio Gennari
Inflammatory myofibroblastic tumor (IMT) is a mesenchymal tumor that can occur at any age. However, it is primarily seen in children, with the most common site being in the lung parenchyma, usually present with rare endobronchial lesions. This case reports the incidence in a 3-year-old girl diagnosed with pericardiac pneumonia treated with antibiotics with no clinical improvement. A chest computed tomography (CT) scan identified a 1.5-cm lesion in the left main bronchus. Bronchoscopy revealed complete obstruction of the left main stem bronchus...
January 2023: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36760663/cloacal-malformation-with-associated-urethral-atresia
#22
Tamador Al-Shamaileh, Laura Tiusaba, Shimon Eric Jacobs, Teresa Lynn Russell, Elizaveta Bokova, Hans G Pohl, Briony K Varda, Christina Ho, Christina Feng, Andrea Badillo, Marc A Levitt
Introduction  Cloacal malformations comprise a heterogeneous group of anomalies that are considered the most complex anorectal malformations (ARMs) in females. Precise evaluation to identify the unique anatomy prior to reconstruction with collaboration between colorectal surgeons, urologists, and gynecologists is vital. Here, we present a rare anatomical variation in a patient with a cloacal malformation which affected operative and postoperative management. Case description  A 6-year-old female with cloaca who underwent colostomy, vaginostomy, and vesicostomy as a newborn presented for reconstruction...
January 2023: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36474523/bilateral-native-kidney-papillary-renal-cell-carcinomas-in-a-11-year-old-renal-transplant-patient
#23
Çiğdem Ulukaya Durakbaşa, Deniz Ugurlu, Sabriye Gulcin Bozbeyoglu, Sinem Aydoner, Hatice Seneldir, Mehmet Onur Candir, Cengiz Candan, Atilla Gemici
Renal cell carcinomas (RCCs) are the most common renal tumors in adults and are usually sporadic and unilateral. Renal transplant recipients have an increased risk of developing RCC. RCC development after kidney transplantation is very rarely reported in children. We present a 11-year-old boy who had cadaveric kidney transplantation for kidney failure 2 years ago. He was under immunosuppressive therapy and presented with microscopic hematuria. An ultrasound (US) revealed bilateral solid renal masses. Further cross-sectional imaging showed a 60 × 70 × 60-mm right renal mass with claw sign and a 5 × 6 × 6-mm mass in the left renal lower pole...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36466361/a-deeper-curse-a-hirschsprung-patient-s-evaluation-unmasks-a-rare-association-with-congenital-central-hypoventilation-syndrome-and-neuroblastoma
#24
Shimon Eric Jacobs, Laura Tiusaba, Elizaveta Bokova, Tamador Al-Shamaileh, Teresa Lynn Russell, Emily C Rutan, Harutyun Haroyan, Yong Wang, Christina Feng, Andrea Badillo, Marc A Levitt
We present a rare case of a 2-year-old male patient referred for primary evaluation of constipation and ultimately treatment of Hirschsprung disease (HSCR) whose preoperative workup incidentally revealed a posterior paraspinal mass. Following the biopsy of the mass, the patient exhibited hypoventilation and hypoxia requiring a delayed extubation, raising suspicion for congenital central hypoventilation syndrome (CCHS). We focus on the known history of associations between HSCR and CCHS, in addition to recently found genetic mutations in paired-like homeobox 2B that link HSCR, CCHS, and neuroblastoma...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36388429/successful-treatment-of-a-single-giant-renal-cyst-in-a-newborn-with-drainage-and-sclerotherapy
#25
Adriana Koenig, Anika Ménétrey, Tobias Jhala, Vincent Uerlings, Philipp O Szavay
Simple renal cysts are a scarce entity in pediatric patients and their etiology is unknown in most cases. Usually, they are monitored with ultrasound and regular follow-up of renal function. Surgical treatment is rarely indicated. We report the case of a newborn with a single giant renal cyst that could be treated successfully with drainage and sclerotherapy. Single giant renal cysts require careful investigation and monitoring. In cysts without communication to the pelvico-caliceal system, sclerotherapy by instillation of doxycycline is a therapeutic option...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36388428/a-case-of-prepubertal-ovarian-tissue-cryopreservation-in-metachronous-bilateral-mature-ovarian-teratoma-requiring-bilateral-oophorectomy
#26
Tom Malik, Robert Wheeler, Nigel J Hall, Juliet Gray
Mature ovarian teratoma has the potential to occur metachronously in the contralateral ovary. There are significant implications for fertility as bilateral oophorectomy may be indicated. In prepubertal girls, ovarian tissue cryopreservation (OTC) offers the only possibility of a future biological pregnancy but outcome data are limited. We present a case of prepubertal OTC in a 12-year-old girl undergoing a second oophorectomy for metachronous contralateral mature teratoma. We offer a discussion of the challenges that emerged regarding perioperative decision-making, balancing the need for safe oncological resection with the desire to preserve fertility...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36225532/where-is-the-vagina-a-rectal-stricture-after-a-presumed-cloacal-repair-turns-out-to-be-the-mobilized-vagina-and-a-missed-high-rectovaginal-fistula
#27
Shimon E Jacobs, Laura Tiusaba, Elizaveta Bokova, Tamador Al-Shamaileh, Teresa L Russell, Briony K Varda, Christina Feng, Andrea T Badillo, Marc A Levitt
We present a case of a rare complication in a 10-month-old female referred to our institution for an anal stricture after primary cloacal repair as an infant. Multimodal imaging, careful physical exam, and endoscopic evaluation revealed her vagina had been pulled through to the location of her anal sphincter muscle complex. We describe the correction of this problem, including identification of her rectum.
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36225531/arterial-embolization-and-methylene-blue-injection-into-the-aberrant-artery-in-two-infants-with-intralobar-sequestration
#28
Anna Ayako Accarain, Marc Laureys, Luc Joyeux, Nasroola Damry, Henri Steyaert, Helena Reusens
Bronchopulmonary sequestration is a rare congenital lung dysplasia. An intralobar sequestration (ILS) is a nonfunctional mass within the lung parenchyma without bronchial communication and with aberrant systemic arterial blood supply. Surgical resection or close observation can be proposed in the management of asymptomatic and low-risk ILS, but there is a lack of consensus. Endovascular embolization before thoracoscopic resection of ILS has been described to limit perioperative bleeding. Another technique previously reported is the injection of methylene blue in the feeding artery to macroscopically mark the sequestration from the healthy lung...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36133643/endoscopic-treatment-of-a-severe-vaginal-stenosis-following-battery-insertion-in-an-11-year-old-girl
#29
Riccardo Guanà, Andrea Carpino, Giuseppe Garbagni, Cecilia Morchio, Salvatore Garofalo, Alessandro Pane, Federico Scottoni, Elisa Zambaiti, Giulia Perucca, Elena Madonia, Fabrizio Gennari
Acquired vaginal strictures are rare entities in children. As a result, they are generally difficult to manage and tend to recur despite appropriate initial therapy. This case study reports the staged management of vaginal stenosis following the insertion of a button battery. In this case, an 11-year-old girl experienced at 4 years old a battery insertion in the vaginal canal by her neighbor's son, who was 6-year-old at the time. Two weeks from insertion, the parents noted the foreign body discharge spontaneously...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36060616/esophageal-perforation-into-the-pericardium-in-a-3-year-old-child-with-esophageal-stricture-a-rare-complication-following-esophageal-dilatation
#30
Abdulrahman Nasser, Raif Nassir, Muhammad Younas Awan, Mohammad Anas AlShawa, Zakaria Habib
Perforation of the esophagus during dilatation is a rare complication that might cause mortality. We present the report of a 3-year-old girl who was diagnosed with B cell acute lymphoblastic leukemia at 17 months of age. She experienced a complicated clinical course after chemotherapy was initiated, which included mucositis and acute pericarditis. She later developed an acquired esophageal stricture and tracheoesophageal fistula, which were managed with resection and primary anastomosis when she was in remission...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36016648/co-injection-of-bile-and-indocyanine-green-for-detecting-pancreaticobiliary-maljunction-of-choledochal-cyst
#31
Shun Onishi, Koji Yamada, Masakazu Murakami, Chihiro Kedoin, Mitsuru Muto, Satoshi Ieiri
The usage of near-infrared (NIR) fluorescence imaging with indocyanine green (ICG) has gained popularity in many procedures in pediatric surgery. ICG generates fluorescent light only when it combines with a protein. We herein report a novel technique for detecting pancreaticobiliary maljunction (PBMJ) with co-injection of bile and ICG in laparoscopic choledochal cyst resection and hepaticojejunostomy for a pediatric patient. A 4-year-old girl presented with abdominal pain and intermittent vomiting. Enhanced computed tomography and magnetic resonance cholangiopancreatography showed a 17-mm type Ia choledochal cyst...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36016647/erratum-to-emergency-separation-of-extreme-vlbw-omphalopagus-twins-case-report
#32
Waleed Burhamah, Amar Alnaqi, Yaqoub Jafar, Esmaeel Taqi
[This corrects the article DOI: 10.1055/s-0042-1750134.].
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36016646/indocyanine-green-based-fluorescence-guided-surgery-in-a-male-infant-with-anorectal-malformation
#33
Irene Paraboschi, Laura Privitera, Stavros Loukogeorgakis, Stefano Giuliani
Reconstructive techniques for complex anorectal malformations (ARMs) require intestinal pull-through on vascular pedicles. Traditionally, the visual inspection of the intestinal perfusion is the sole modality adopted to assess tissue viability. In this article, we report the case of a child with a rectourethral prostatic fistula, who had a Peña's descending colostomy with distal mucous fistula in the neonatal period and a posterior sagittal anorectoplasty at 6 months of life. The ARM repair was guided by indocyanine green (ICG), which was intravenously administered to evaluate the blood flow of the intestinal pull-through using the EleVision IR system (Medtronic Ltd, U...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/35992311/a-rare-case-of-colonic-triplication-with-associated-imperforate-anus-in-a-newborn-male
#34
Elise McKenna, Christina Ho, Andrea Badillo, Gustavo Villalona, Marc A Levitt
We present a case of a newborn male with imperforate anus who was found to have colonic triplication with a high rectovesical fistula. The case is presented with a focus on surgical strategies for the management of this rare malformation.
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/35992310/complete-colonic-duplication-and-perineal-fistula-transanal-mucosectomy-of-the-ectopic-rectum
#35
Johannes W Duess, Peter Zimmermann, Franz W Hirsch, Daniel Graefe, Martin Lacher, Jan-Hendrik Gosemann
Background Colonic duplication may present in different anatomic variants. The surgical approach towards these anomalies can be challenging and has implications for subsequent future continence. Case Description  We report on a 1-year-old girl with congenital heart defect and pacemaker who was referred to us with an anorectal malformation. The patient was stooling from both an anus and a perineal fistula. Examination under anesthesia revealed an orthotopic and age-appropriate sized anus with surrounding sphincter and a second rectal lumen ending as a perineal fistula...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/35992309/transanal-mesenteric-resection-in-hirschsprung-s-disease-using-icg-under-concept-of-notes-technique
#36
Mitsuru Muto, Shun Onishi, Masakazu Murakami, Keisuke Yano, Toshio Harumatsu, Satoshi Ieiri
Laparoscopic surgery has been applied for Hirschsprung's disease (HD). We herein report our approach to mesenteric processing for laparoscopic-assisted transanal endorectal pull-through (L-TERPT). Following mucosectomy and entering the abdominal cavity, a vessel sealing system is transanally inserted into the abdominal cavity for mesenteric processing based on concept of Natural Orifice Translumenal Endoscopic Surgery. Since the transanal axis is parallel to the dissected mesentery, it makes easier to operate in comparison to when the procedure is performed through the abdominal working port and can reduce the additional abdominal trocar wound...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/35992308/covid-19-related-intestinal-ischemia-in-a-7-year-old-boy
#37
Balázs Fadgyas, Gábor István Garai, János Schnur, Viktória Irén Kiss, Viktória Vass, Enikő Mátyus, György Balázs, Tamas Cserni
Severe abdominal pain and vomiting are common symptoms in children with pediatric multisystem inflammatory syndrome (PIMS). Mesenteric lymphadenitis and aseptic peritonitis are predominantly reported in cases where acute surgical abdomen was suspected and laparotomy was performed at the early stage of the pandemic. These reports generally discouraged surgeons to perform exploration in COVID-19-related cases and medical management was prioritized. Only a few COVID-19-specific surgical cases with intestinal ischemia were published...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/35911497/cloaca-like-anomalies-in-the-male-a-report-on-two-cases
#38
Amr AbdelHamid AbouZeid, Shaimaa Abdelsattar Mohammad, Marco Rady Sos, Nader Nassef Guirguis, Heba A Mahmoud, Manal El-Mahdy
"Cloaca" is a term used to describe an anomaly in the female where a single orifice is located in the perineum draining both urogenital and gastrointestinal tracts. Few reports used the same term "cloaca" to describe the counterpart anomaly in the male. We present two "male" cases of anorectal anomalies associated with significant penile deformity (caudally displaced penis) that were managed during the period between January 2010 and September 2021. Characteristically, both cases had a single "central" perineal orifice...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/35911496/osteoid-osteoma-of-the-coracoid-process-presenting-as-adhesive-capsulitis-in-a-10-year-old-male-a-case-report
#39
Anthony Mancuso, Amy Singleton, Hadeel Abaza, Michael Albert, Jeffrey Mikutis
A 10-year-old male presented with symptoms in his right shoulder indicative of adhesive capsulitis. Radiographic films did not demonstrate any osseous abnormalities. Magnetic resonance imaging demonstrated the presence of an eccentric lesion within the coracoid process consistent with an osteoid osteoma. Six months after surgical removal the patient is back to full activities. For the pediatric population, surgeons must always consider diagnoses that could alter a patient's growth or result in long-term disability...
January 2022: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/35865513/high-resolution-transperineal-ultrasound-in-anorectal-malformations-can-we-replace-the-distal-colostogram
#40
Francesca Palmisani, Wilfried Krois, Janina Patsch, Martin Metzelder, Carlos A Reck-Burneo
Introduction  Anorectal malformations (ARM) affect 1 in 5,000 newborns with a wide range of defects. In the absence of a visible fistula, the diagnosis and classification of ARM require an augmented pressure distal colostogram. This procedure can be done after a diverting colostomy has been performed and implies exposing the child to radiation. We hypothesized that high-resolution transperineal ultrasound could correctly diagnose the type of ARM, thus sparing radiation exposure. Case Description  Four full-term male newborns with ARM and no visible anal opening were referred to our center for further management...
January 2022: European Journal of Pediatric Surgery Reports
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