keyword
https://read.qxmd.com/read/38526644/a-systematic-review-of-sandifer-syndrome-in-children-with-severe-gastroesophageal-reflux
#1
JOURNAL ARTICLE
Daiki Kato, Hiroo Uchida, Hizuru Amano, Kazuki Yokota, Chiyoe Shirota, Takahisa Tainaka, Wataru Sumida, Satoshi Makita, Akihiro Yasui, Yousuke Gohda, Takuya Maeda, Akinari Hinoki
PURPOSE: Sandifer syndrome (SS), which combines gastroesophageal reflux (GER) and a neurological or psychiatric disorder, is an uncommon condition that often takes a long time to diagnosis. We aimed to systematically review available papers regarding SS. METHODS: After presenting our two cases of SS, we systematically reviewed articles published in MEDILINE/PubMed, Cochrane Library, and Web of Science. RESULTS: The meta-analysis included 54 reported cases and 2 of our own cases...
March 25, 2024: Pediatric Surgery International
https://read.qxmd.com/read/38515131/posttraumatic-cubitus-varus-respect-the-columns
#2
JOURNAL ARTICLE
Adam M Schlauch, Mary Claire Manske, Holly B Leshikar, Jon R Davids
Posttraumatic cubitus varus is a multiplanar deformity that results from an improperly reduced supracondylar humerus fracture. The prevention of posttraumatic cubitus varus hinges on the stable restoration of all 3 columns of the distal humerus while avoiding malrotation. The collapse of any column leads to varying degrees of deformity in the coronal, sagittal, and/or axial plane. The purpose of this article is to explain the pattern of the deformity and use this to summarize preventative tactics for avoiding its described sequelae...
March 22, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38505329/understanding-and-managing-a-case-of-the-omphalocele-exstrophy-imperforate-anus-spinal-defect-complex
#3
Khulud Mahmood Nurani, Waleed Abdalla, Khalid Mohamed Ayub
The omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) complex is a rare birth disorder involving a combination of gastrointestinal, musculoskeletal, renal, neural, and genitourinary system defects. We present a case report of a neonate with OEIS born by vertex spontaneous delivery to non-consanguineous parents. The major presenting defect was exstrophy of the cecum lying between two exstrophied halves of the bladder, an imperforate anus and spina bifida myelomeningocele. Explorative laparotomy revealed a duplex kidney system, attachment of the terminal ileum and cecum to the exstrophy, and a sausage-like atretic large bowel...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38483097/navigating-inconclusive-upper-gastrointestinal-series-in-infantile-bilious-vomiting-a-case-series-on-intestinal-malrotation
#4
JOURNAL ARTICLE
Yi Xian Low, Yi Ming Teo, Yang Yang Lee, Yoke Lin Nyo, Dale Lincoln Loh, Vidyadhar Padmakar Mali
BACKGROUND Bilious vomiting in a child potentially portends the dire emergency of intestinal malrotation with volvulus, necessitating prompt surgical management, with differentials including small-bowel atresia, duodenal stenosis, annular pancreas, and intussusception. Although the upper-gastrointestinal series (UGI) is the diagnostic investigation of choice, up to 15% of the studies are inconclusive, thereby posing a diagnostic challenge. CASE REPORT We report a case series of 3 children referred for bilious vomiting, whose initial UGI was inconclusive and who were eventually confirmed to have intestinal malrotation at surgery...
March 14, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38471217/explorative-laparotomy-of-cecal-volvulus-in-a-pediatric-patient-a-case-report-and-review-of-literature
#5
Lujain Alzahrani, Faisal Joueidi, Fawzy Mohamed Abodahab, Khaled Joueidi, Asim Khan
INTRODUCTION AND IMPORTANCE: Cecal volvulus is a rare intestinal pathology that occurs due to abnormal cecum mobility associated with spectrum of complications. It is usually manifested in adults. However, on extremely rare occasions, it occurs in pediatrics. We presented a case of cecal volvulus demonstrating the significance of early diagnosis and treatment to reach successful outcomes. CASE PRESENTATION: A 12 year old boy who presented to the emergency department for clinical evaluation for acute abdomen...
March 11, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38470128/rotational-malalignment-after-intramedullary-nailing-of-tibial-shaft-fractures-is-predictable
#6
JOURNAL ARTICLE
Megan E Cain, Laurent Hendrickx, Inger Sierevelt, Gino M M J Kerkhoffs, Bhavin Jadav, Job N Doornberg, Ruurd L Jaarsma
OBJECTIVES: Intramedullary nailing (IMN) is the treatment of choice for most tibial shaft fractures (TSF). However, an iatrogenic pitfall may be rotational malalignment. The aim of this retrospective analysis was to determine predictors of rotational malalignment following IMN of TSF. DESIGN: Retrospective study. SETTING: Single level one trauma centre. PATIENT SELECTION CRITERIA: Patients that had a unilateral IMN for TSF with a low-dose bilateral post-operative CT to assess rotational malalignment...
March 12, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38463733/adult-intestinal-malrotation-presenting-as-caecal-volvulus-with-incidental-findings-of-duplicate-inferior-vena-cava-and-other-rare-abnormalities-case-report
#7
Samuel R Thomson, Sam M Hanna, Amit Sarkar, Atandrila Das, Dayashan S Perera
Intestinal malrotation and duplication of the inferior vena cava are rarely diagnosed in adult patients; however, incidence is likely underestimated as they are usually asymptomatic. These congenital malformations have been previously reported in the same patient twice but never with colonic obstruction or ischaemia. A 25-year-old female presented with nausea, vomiting, obstipation, and abdominal pain, and on computed tomography of the abdomen and pelvis was diagnosed with a caecal volvulus and pneumatosis coli associated with intestinal malrotation requiring emergency right hemicolectomy...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38460793/pkd1l1-deficiency-drives-biliary-atresia-through-ciliary-dysfunction-in-biliary-epithelial-cells
#8
JOURNAL ARTICLE
Yi Zou Lim, Min Zhu, Yunguan Wang, Tripti Sharma, Shannon Kelley, Estelle Oertling, Hao Zhu, Natasha Corbitt
BACKGROUND AND AIMS: Syndromic biliary atresia is a cholangiopathy characterized by fibro-obliterative changes in the extrahepatic bile duct (EHBD) and congenital malformations including laterality defects. The aetiology remains elusive and faithful animal models are lacking. Genetic syndromes provide important clues for underlying pathogenic mechanisms of disease. We investigated the role of the gene Pkd1l1 in syndromic biliary atresia pathophysiology. METHODS: Constitutive and conditional Pkd1l1 knockout mice were generated to explore genetic pathology as a cause of syndromic biliary atresia...
March 7, 2024: Journal of Hepatology
https://read.qxmd.com/read/38451337/intramedullary-nailing-of-femoral-shaft-fractures-an-analysis-of-rotational-malunions-using-3d-eos
#9
JOURNAL ARTICLE
B Poirot Seynaeve, P Gentilhomme, D Tran-Minh, N Zran, X Ohl, R Siboni, E Joseph
PURPOSE: Rotational malalignment and leg length discrepancy after intramedullary nailing of femoral shaft are frequent. This study has three objectives: evaluate the rate of femoral rotational malalignment and leg length discrepancy using EOS imaging after antegrade intramedullary nailing of femoral shaft fracture, find a relevant clinical examination to detect malrotation and identified risk factors. METHODS: We performed a retrospective single-centre study between January 2014 and January 2022...
March 7, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38451033/persistent-and-newly-developed-gastrointestinal-symptoms-after-surgery-for-intestinal-malrotation-in-children-dysmotility-or-disorders-of-gut-and-brain-interaction
#10
JOURNAL ARTICLE
Dhiren Patel, Darnna Banks, Bindi Hira, Madeline Ford, Lusine Ambartsumyan, Leonel Rodriguez
OBJECTIVES: Surgery for intestinal malrotation (IM) aims to correct the defect and improve symptoms; however, many have persistent gastrointestinal (GI) symptoms postoperatively. We evaluated the incidence, clinical presentation, and long-term outcomes of children with surgically repaired IM and its possible association with disorders of gut and brain interaction (DGBI). METHODS: Multicenter retrospective study was conducted in patients from 0 to 21 years old, who had surgery for IM from 2000 to 2021 across three pediatric tertiary care centers...
March 7, 2024: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/38435937/when-the-gut-took-a-wrong-turn-to-the-right-a-case-report-of-a-rare-complication-of-closed-loop-small-bowel-obstruction-with-small-bowel-volvulus-in-a-right-paraduodenal-hernia-with-midgut-malrotation
#11
Samanvitha H, Sushmitha Puttappa Shivagange, Shantkumar S Sajjan, Naveen S G, Harsha M T
Internal hernias constitute 5.8% of all small bowel obstructions. The right paraduodenal hernia is a less common subtype of the paraduodenal hernia. Lack of specific signs and symptoms precludes its clinical diagnosis, which emphasizes the need for computed tomography in diagnosis. We present a case of a 24-year-old male patient with a right paraduodenal hernia and midgut malrotation causing closed loop small bowel obstruction and small bowel volvulus within the hernial sac who underwent laparoscopy-assisted reduction of hernia and adhesiolysis with closure of the peritoneal defect...
January 2024: Curēus
https://read.qxmd.com/read/38428056/incidentally-discovered-intestinal-malrotation-during-evaluation-for-blunt-abdominal-trauma-a-case-report
#12
Shishir Devkota, Prajjwol Luitel, Sujan Paudel, Nischal Neupane, Santosh Dev, Prasan Bir Singh Kansakar
INTRODUCTION AND IMPORTANCE: Intestinal malrotation is a congenital abnormality predominantly diagnosed in children, with only a few cases reported in adults. Patients may be incidentally identified during unrelated surgical procedures or postmortem examinations. It is crucial to promptly recognize this condition to prevent severe complications such as bowel ischemia and potential fatality. CASE PRESENTATION: A 40-year-old male presented to the Emergency Department after a child jumped on his abdomen with complaints of acute left upper quadrant abdominal pain progressing to be generalized...
February 22, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38420232/tibial-component-revision-arthroplasty-using-porous-tantalum-cone-for-symptomatic-progressive-periprosthetic-proximal-tibial-ganglion-cyst-about-all-polyethylene-tibia-primary-total-knee-replacement-a-case-report-and-review-of-literature
#13
Jonathan Liu, Leon Zhao, Kenny Chang, Jacob Laperche, Nathaniel Smith, Derek Jenkins
INTRODUCTION: Intraosseous ganglion cysts are an uncommon variant found in the subchondral bone. We report here the development of an intraosseous ganglion cyst of the proximal tibia in the setting of a prior left total knee arthroplasty (TKA) with an all-polyethylene tibial component. CASE REPORT: The cyst was diagnosed on routine follow-up radiographs approximately 4 years status post-TKA. Although initially asymptomatic, 1 year later the patient presented with progressive knee pain and ambulation limitations, so revision TKA was indicated...
February 2024: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38418275/impact-of-focused-abdominal-ultrasound-utilization-on-outcomes-for-children-with-midgut-volvulus
#14
JOURNAL ARTICLE
Desi M Schiess, Marla B K Sammer, Andrew C Sher, Alexander M El-Ali, Ekene A Onwuka, Xiaofan Huang, Kristen A Staggers, HaiThuy N Nguyen
BACKGROUND: Ultrasound (US) is gaining acceptance for the evaluation of midgut volvulus in children. However, its impact on clinical outcomes is unknown. We aim to determine whether using US as a first-line modality changes imaging mobilization, time to surgery and re-feeding, length of stay, and frequency of bowel necrosis, short bowel syndrome, and death. METHODS: An IRB-approved retrospective cohort study was performed at a tertiary pediatric institution. Eighty children with surgically confirmed midgut volvulus from 2014 to 2021 were compared before and after implementation of US as first-line imaging and based on the modality used to diagnose midgut volvulus...
February 3, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38413766/reassessing-acquired-neonatal-intestinal-diseases-using-unsupervised-machine-learning
#15
JOURNAL ARTICLE
Daniel R Gipson, Alan L Chang, Allison C Lure, Sonia A Mehta, Taylor Gowen, Erin Shumans, David Stevenson, Diomel de la Cruz, Nima Aghaeepour, Josef Neu
BACKGROUND: Acquired neonatal intestinal diseases have an array of overlapping presentations and are often labeled under the dichotomous classification of necrotizing enterocolitis (which is poorly defined) or spontaneous intestinal perforation, hindering more precise diagnosis and research. The objective of this study was to take a fresh look at neonatal intestinal disease classification using unsupervised machine learning. METHODS: Patients admitted to the University of Florida Shands Neonatal Intensive Care Unit January 2013-September 2019 diagnosed with an intestinal injury, or had imaging findings of portal venous gas, pneumatosis, abdominal free air, or had an abdominal drain placed or exploratory laparotomy during admission were included...
February 27, 2024: Pediatric Research
https://read.qxmd.com/read/38397262/quality-and-diagnosis-on-the-lateral-view-of-pediatric-upper-gastro-intestinal-series
#16
JOURNAL ARTICLE
Shyam Sunder B Venkatakrishna, Mohamed Elsingergy, Juan S Calle-Toro, Rebecca Dennis, Hansel J Otero, Savvas Andronikou
BACKGROUND: The standard imaging technique for the diagnosis of intestinal malrotation remains the upper gastro-intestinal series (UGIS). The lateral view is promoted as important for making a diagnosis. For this, the lateral view should be of adequate quality, and radiologists must know the normal appearance as well as the appearance of duodenal variants, as misdiagnosis may lead to unnecessary surgery. OBJECTIVE: We aimed to evaluate the quality, findings including the prevalence of the "descending staircase" configuration and its correspondence to a diagnosis of duodenum redundum...
January 24, 2024: Children
https://read.qxmd.com/read/38394938/waugh-syndrome-a-rare-coexistence-of-intussusception-and-intestinal-malrotation-case-report-and-literature-review
#17
Malvina Asbah, Oadi N Shrateh, Hadeel Ashqar, Asil Musleh, Khaled Abbadi, Wael Amro
INTRODUCTION: Waugh's syndrome, characterized by the concurrent presence of acute intussusception and gut malrotation, is a rare clinical entity. The relationship between these conditions is not well-explored, and the true incidence may be underreported. CASE PRESENTATION: A 4 month old male infant, with an uneventful medical history, presented to the pediatric emergency department due to irritability and rectal bleeding lasting one day. The infant had a history of bilious vomiting and dark bloody rectal discharge...
February 20, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38394530/adult-onset-congenital-intestinal-malrotation-a-case-report-and-literature-review
#18
REVIEW
Meng-Di Yin, Li-Liang Hao, Guang Li, Yu-Tao Li, Bao-Li Xu, Xin-Rui Chen
BACKGROUND: Intestinal malrotation is an infrequent congenital anomaly primarily observed in neonates, and adult-onset cases are exceedingly rare. Studies on adult congenital intestinal malrotation are limited. METHODS: A case with congenital intestinal malrotation is reported in our study. The clinical data were collected and the treatment process and effect were evaluated. RESULTS: A 45-year-old female who had been experiencing vomiting for over 40 years was admitted to our hospital...
February 23, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38384702/sonographic-findings-of-transient-marked-proximal-bowel-dilatation-in-a-growth-restricted-fetus-at-35-weeks-gestation
#19
David M Sherer, Natalia Catala, Megan Ebner, Erin Walters, Mila Kheyman, Harry Zinn, Mudar Dalloul
Etiologies underlying the relatively infrequent third-trimester sonographic depiction of dilated fetal bowel include (functional or mechanical) bowel obstruction, intestinal atresia, volvulus, annular pancreas, intestinal malrotation, intussusception, gastrointestinal duplications, cystic fibrosis-associated meconium ileus, congenital chloride diarrhea, microvillus inclusion disease, intestinal neuronal dysplasia, and meconium plug syndrome. Fetal bowel obstruction may be associated with aneuploidy (mostly Trisomy 21 in association with esophageal or duodenal atresia), and rarely select microduplications or deletions...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38384658/case-report-the-acute-appendicitis-and-incarcerated-umbilical-hernia-a-rare-association
#20
Letizia Corbi, Simone Frediani, Ivan Pietro Aloi, Arianna Bertocchini, Antonella Accinni, Valerio Pardi, Alessandro Inserra
INTRODUCTION: One of the most prevalent congenital wall abnormalities in children, umbilical hernias are often linked to premature or small-for-gestational-age babies. In cases of intestinal malrotation or if the cecum is very movable, generalized peritonitis may facilitate the imprisonment of these hernias. CASE REPORT: We described a case of a 4-month-old baby who had a prior reducible umbilical hernia with a history of fever, vomiting, poor appetite, and constipation for around 48 h...
2024: Frontiers in Pediatrics
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