keyword
https://read.qxmd.com/read/37189937/additional-anomalies-in-children-with-gastroschisis-and-omphalocele-a-retrospective-cohort-study
#21
JOURNAL ARTICLE
Adinda G H Pijpers, Cunera M C de Beaufort, Sanne C Maat, Chantal J M Broers, Bart Straver, Ernest van Heurn, Ramon R Gorter, Joep P M Derikx
BACKGROUND: Congenital abdominal wall defects might be associated with other anomalies, such as atresia in gastroschisis and cardiac anomalies in omphalocele patients. However, in the current literature, an overview of these additional anomalies and potential patient-specific risk factors is missing. Therefore, we aimed to assess the prevalence of associated anomalies and their patient-specific risk factors in patients with gastroschisis and omphalocele. METHODS: A mono-center retrospective cohort study between 1997 and 2023 was performed...
April 5, 2023: Children
https://read.qxmd.com/read/37124189/case-report-epigastric-heteropagus-twins-and-literature-review
#22
Wenbin Zhu, Xiongjian Cui, Zhaohan Wu, Zhaolin Li, Gang Chen, Suixin Liang, Jianxiong Mao
Epigastric heteropagus twins are an extremely rare congenital anomaly of conjoined twins. We present a case of epigastric heteropagus twins who were diagnosed via prenatal ultrasound imaging: the fetus (or host) was connected to the abdominal wall of the parasite (the dependent portion), and an omphalocele was present. The male infant was delivered by cesarean section at 35 + 5 weeks gestation. The parasite lacked a head and heart and presented long bones of the limbs. After abdominal computed tomography, omphalocele repair, and parasite removal were surgically performed under general anesthesia...
2023: Frontiers in Pediatrics
https://read.qxmd.com/read/37071768/a-case-of-intra-amniotic-umbilical-vein-varices-misdiagnosed-as-an-omphalocele
#23
JOURNAL ARTICLE
Hayet Zitouni, Taycir Cheikhrouhou, Chiraz Regaieg, Afef Ben Thabet, Rim Kallel, Saloua Ammar, Tahya Sellami Boudawara, Nadia Hmida, Mahdi Ben Dhaou, Riadh Mhiri
Background: Intra-amniotic umbilical vein varices are characterized by a focal dilatation of the extra abdominal umbilical vein. Case report: We report a full-term baby female with extra-abdominal umbilical vein varices misdiagnosed clinically as an omphalocele. The umbilical vein was ligated and excised near the level of the liver. The infant died one day after surgery due to extrinsic compression of the renal pedicle by a massive thrombus, resulting in severe renal failure and life-threatening hyperkalemia despite intensive resuscitation...
April 18, 2023: Fetal and Pediatric Pathology
https://read.qxmd.com/read/37051184/successful-on-ecls-repair-of-cdh-and-omphalocele-in-a-newborn
#24
Frank Fideler, Migdad Mustafi, Hans-Joachim Kirschner, Ines Gerbig, Jörg Fuchs, Michael Hofbeck, Matthias Kumpf, Oliver Kagan, Jörg Michel, Walter Jost, Felix Neunhoeffer
Both congenital diaphragmatic hernias (CDHs) and omphaloceles show relevant overall mortality rates as individual findings. The combination of the two has been described only sparsely in the literature and almost always with a fatal course. Here, we describe a term neonate with a rare high-risk constellation of left-sided CDH and a large omphalocele who was successfully treated on extracorporeal life support (ECLS). Prenatally, the patient was diagnosed with a large omphalocele and a left CDH with a lung volume of ∼27% and an observed to expected lung-to-head ratio of 30%...
January 2023: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/36973236/mesothelial-inclusion-cyst-in-an-infant-with-beckwith-weidemann-syndrome
#25
JOURNAL ARTICLE
Alison J Lehane, Jessica Rauh, Leah M Sieren
Mesothelial inclusion cysts are rare benign tumors not frequently reported in the literature. When reported, they are primarily found in adults. One report from 2006 reports an association with Beckwith-Weideman syndrome, but no other reported cases discuss this correlation. We describe a case of an infant with Beckwith-Weideman syndrome who, in the setting of omphalocele repair, was found to have hepatic cysts with pathology revealing mesothelial inclusion cysts.
March 27, 2023: American Surgeon
https://read.qxmd.com/read/36921170/thyroid-dysfunction-in-infants-with-severe-intestinal-insufficiency-a-case-series
#26
Gabriela Ibrahim Martins de Castro, Mário Cícero Falcão, Juliana Zoboli Del Bigio, Werther Brunow de Carvalho
OBJECTIVE: The aim of this study was to describe the status of thyroid function in infants with severe intestinal dysfunction. CASE DESCRIPTION: A retrospective study was conducted in a tertiary neonatal intensive care center, including newborns and infants with severe intestinal dysfunction, hospitalized between 2015 and 2020. From the medical records, the following data were collected: gestational age, birth weight, underlying pathology that led to intestinal dysfunction, hospital stay, presence of thyroid dysfunction, age from the onset of thyroid dysfunction, initial and maximum dose of levothyroxine replacement, and levothyroxine administration route and outcome...
2023: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://read.qxmd.com/read/36910292/hernia-of-umbilical-cord-an-enigma
#27
JOURNAL ARTICLE
Pooja Tiwari, Ram Mohan Shukla, Maneesh Kumar Joleya, Sarvagya Jain, Ashok Kumar Ladda, Shashi Shankar Sharma, Vinod Raj, Brijesh Kumar Lahoti, Manoj Joshi
INTRODUCTION: Hernia of the umbilical cord (HUC) is an uncommon problem which is often misdiagnosed, leading to inadequate treatment and various complications which cause increased morbidity and mortality in neonates. To address this issue, we took up this study. MATERIALS AND METHODS: Patients diagnosed with HUC from January 1, 2017, to December 31, 2021, were retrospectively analyzed. The following data of all these patients were collected and retrospectively analyzed: demography, radiological investigations, echocardiography, contents of hernia, type of surgery performed, and outcome...
2023: Journal of Indian Association of Pediatric Surgeons
https://read.qxmd.com/read/36764963/clinical-features-of-patients-who-underwent-anoplasty-for-cloacal-exstrophy-and-their-functional-outcomes-the-results-of-a-nationwide-survey-in-japan
#28
JOURNAL ARTICLE
Koshiro Sugita, Toshio Harumatsu, Takafumi Kawano, Mitsuru Muto, Keisuke Yano, Shun Onishi, Satoshi Ieiri, Masayuki Kubota
PURPOSE: This study was performed to clarify the clinical features of cloacal exstrophy (CE) patients who underwent anoplasty and their functional outcomes based on a nationwide survey in Japan. METHODS: A questionnaire survey was conducted and data were obtained from 229 CE patients. After the exclusion of non-surviving patients and unknown data, 195 patients were enrolled. We compared the patient characteristics of the no anoplasty group (NAP group) to the anoplasty group (AP group)...
February 10, 2023: Pediatric Surgery International
https://read.qxmd.com/read/36720724/cone-beam-computed-tomography-assisted-percutaneous-gastrostomy-tube-insertion-in-children-with-challenging-anatomy
#29
JOURNAL ARTICLE
Taryn J Rohringer, Maria Gladkikh, Jirawadee Yodying, Nicholas A Shkumat, Bairbre L Connolly, Dimitri A Parra
BACKGROUND: Percutaneous radiological gastrostomy tube insertion is a common procedure in children. An approach using ultrasound and fluoroscopy may not be feasible in patients with challenging anatomy; therefore, advanced techniques or other imaging modalities may be required. OBJECTIVE: To describe our experience using cone-beam computed tomography (CT)-assisted percutaneous gastrostomy insertion in pediatric patients with challenging anatomy. MATERIALS AND METHODS: A retrospective review was performed in children who underwent cone-beam CT-assisted percutaneous radiologic gastrostomy between January 2015 and July 2019...
February 1, 2023: Pediatric Radiology
https://read.qxmd.com/read/36588282/feeding-practice-nutrition-and-growth-in-infants-with-abdominal-wall-defects-and-esophageal-atresia-a-retrospective-case-control-study
#30
JOURNAL ARTICLE
Signe Sparre, Gitte Zachariassen, Mark Bremholm Ellebæk, Steffen Husby, Kristina Garne Holm
INTRODUCTION:  Infants born with abdominal wall defects and esophageal atresia (EA) are at risk of impaired growth. Little is known about the optimal nutritional strategy and its impact on growth for these infants. This study aims to explore nutrition, focusing on breastfeeding, and the presumed impact on infant growth during the first year of life. MATERIALS AND METHODS:  We performed a registry study. The participants comprised infants born with gastroschisis, omphalocele, or EA from 2009 to 2020...
December 31, 2022: European Journal of Pediatric Surgery
https://read.qxmd.com/read/36564348/omphalocele-with-segmental-intestinal-dilatation-and-a-portal-duplication-cyst
#31
JOURNAL ARTICLE
Risa Kanai, Hiromu Miyake, Koji Fukumoto, Hideto Iwafuchi, Naoto Urushihara
No abstract text is available yet for this article.
January 2022: Pediatrics International: Official Journal of the Japan Pediatric Society
https://read.qxmd.com/read/36507134/vacuum-assisted-staged-omphalocele-reduction-a-preliminary-report
#32
JOURNAL ARTICLE
Matthias Nissen, Anna Romanova, Elena Weigl, Laura Petrikowski, Mohamad Alrefai, Jochen Hubertus
INTRODUCTION: Omphalocele represents a rare congenital abdominal wall defect. In giant omphalocele, due to the viscero-abdominal disproportion, gradual reintegration of eviscerated organs is often associated with medical challenges. We report our preliminary experience combining staged gravitational reduction with vacuum (VAC) therapy as a novel approach for treatment of giant omphalocele. PATIENTS AND METHODS: Retrospective chart review of six patients (five females) born between September 2018 and May 2022 who underwent staged reduction of giant omphalocele in conjunction with VAC therapy was conducted...
2022: Frontiers in Pediatrics
https://read.qxmd.com/read/36454276/-is-anemia-frequently-recognized-in-gastroschisis-compared-to-omphalocele-a-multicenter-retrospective-study-in-southern-japan-by-sugita-k-et-al
#33
MULTICENTER STUDY
Devkumar Jitendra Govani, Rajvi Anilkumar Trambadia, Rohan Ashit Chhaniara, Zankhan Ramkishan Mirani, Partap Kumar Midha, Rafael Cavalcante Correia, Ramnik V Patel
No abstract text is available yet for this article.
December 1, 2022: Pediatric Surgery International
https://read.qxmd.com/read/36446303/anatomy-and-embryology-of-abdominal-wall-defects
#34
REVIEW
Faraz A Khan, Steven L Raymond, Asra Hashmi, Saleem Islam
Abdominal wall defects are one of the most frequently encountered human congenital anomalies. They are seen in as many as 1 in 2,000 live births with evidence to suggest that their incidence is increasing. While often discussed together abdominal wall defects consist mainly of two entities namely gastroschisis and omphalocele. There are marked differences in their theories of embryo-pathogenesis, clinical presentation/anatomy and overall outcomes. There is no clear consensus explaining the precise embryological mechanisms leading to the development of abdominal wall defects...
December 2022: Seminars in Pediatric Surgery
https://read.qxmd.com/read/36435753/combined-negative-pressure-wound-therapy-with-irrigation-and-dwell-time-and-artificial-dermis-prevents-infection-and-promotes-granulation-formation-in-a-ruptured-giant-omphalocele-a-case-report
#35
JOURNAL ARTICLE
Yoichi Nakagawa, Hiroo Uchida, Akinari Hinoki, Chiyoe Shirota, Wataru Sumida, Satoshi Makita, Hizuru Amano, Masamune Okamoto, Aitaro Takimoto, Seiya Ogata, Shunya Takada, Daiki Kato, Yousuke Gohda
BACKGROUND: Omphalocele is a congenital abdominal wall defect of the umbilical cord insertion site. A giant omphalocele, with a fascial defect > 5 cm in diameter and/or containing > 50% of the liver within the hernia sac, can be challenging for pediatric surgeons. Recently, negative pressure wound therapy has been reported as an effective management for giant omphaloceles; however, it is not recommended for an infected wound with necrotic tissue as it may exacerbate infection...
November 26, 2022: BMC Pediatrics
https://read.qxmd.com/read/36421203/pediculated-accessory-liver-lobe-with-gallbladder-in-a-preterm-with-umbilical-cord-hernia
#36
Martha Georgina Brandtner, Hannah N Stundner-Ladenhauf, Sara Lapointe-Rohde, Christa Schimke, Dietrich Kluth, Roman Metzger
(1) Background: Accessory liver lobes are a rare finding and only a few case reports of accessory liver lobes in abdominal wall defects have been reported so far. In the case of a congenital wall defect including liver parenchyma, there is still an ongoing debate on the definition of the abdominal wall defect and best care practice. Even though congenital abdominal wall defects are frequently diagnosed in prenatal screenings, controversy on the underlying etiology, embryology and underlying anatomy remains...
November 15, 2022: Children
https://read.qxmd.com/read/36360331/prevention-of-tracheo-innominate-artery-fistula-formation-as-a-complication-of-tracheostomy-two-case-reports
#37
Byungsun Yoo, Bongjin Lee, June Dong Park, Seong Keun Kwon, Jae Gun Kwak
Tracheo-innominate artery fistula (TIF) is a rare complication of tracheostomy and refers to the formation of a fistula between the trachea and innominate artery. Because TIF is fatal, prevention rather than treatment is very important. Here we report the cases of two high-risk patients who underwent tracheostomy, and in whose cases attempts were made to lower the risk of TIF. In the first patient who developed a chest deformity with Duchenne muscular dystrophy, a tracheostomy was performed with a high-level (cricothyroid level) approach compared with the standard tracheostomy...
October 22, 2022: Children
https://read.qxmd.com/read/36305446/a-unique-case-of-a-newborn-with-a-hemangioma-on-the-omphalocele-sac
#38
Elif Emel Erten, Can İhsan Öztorun, Süleyman Arif Bostancı, Tuğba Örnek Demir, Medine Ezgi Öcal, Ahmet Ertürk, Sabri Demir, Doğuş Güney, Müjdem Nur Azılı, Emrah Şenel
BACKGROUND: Mass lesions of the umbilical cord are rare anomalies. There have been rare reports of hemangiomas of the umbilical cord, but the co-occurrence of omphalocele and hemangioma of the umbilical cord has not been previously reported. Nonetheless, the condition is clinically significant as it may cause the disturbance of intrauterine fetal circulation, retardation of fetal growth and development, non-immune hydrops fetalis, morbidity and mortality. CASE: Here we aim to report a case that was prenatally diagnosed with an omphalocele and that presented after birth with a hemangioma on the omphalocele sac...
2022: Turkish Journal of Pediatrics
https://read.qxmd.com/read/36302247/nutritional-management-of-infants-with-a-giant-ruptured-omphalocele-clinical-observations-from-a-single-institution-case-series
#39
JOURNAL ARTICLE
Shannon Burke, Ruth Laverde, Mary Kate Klarich, Lan Tuyet Vu
The nutritional requirements of neonates with congenital abdominal wall defects (AWD) remain poorly described. In particular, there is a lack of literature on the calorie, protein and micronutrient needs of those with AWD. Nutritional therapy is a cornerstone of care in patients with burns due to the metabolic consequences of injury to the epithelial layer. Similarly, children with AWD may require specialized nutritional plans to support their growth and wound healing. This case series supports the theory that patients with ruptured omphaloceles may require higher calorie, protein, and micronutrient provisions in comparison to patients with intact omphaloceles, due to increased metabolic demand to support wound healing and skin epithelization...
October 27, 2022: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/36233585/current-challenges-in-the-treatment-of-the-omphalocele-experience-of-a-tertiary-center-from-romania
#40
JOURNAL ARTICLE
Elena Ţarcă, Elena Cojocaru, Laura Mihaela Trandafir, Alina Costina Luca, Răzvan Călin Tiutiucă, Lăcrămioara Ionela Butnariu, Claudia Florida Costea, Iulian Radu, Mihaela Moscalu, Viorel Ţarcă
Omphalocele is a congenital abdominal wall defect with a constant incidence in recent decades, sometimes representing a real burden for neonatal intensive care units due to prolonged hospitalization and the evolution to death. In our study, we aimed to detect the main risk factors of an unfavorable evolution in the case of omphalocele. METHODS: Retrospective cohort study of all neonates with omphalocele treated in our tertiary pediatric hospital during the last three decades; from 158 patients, 139 patients were eligible for the study...
September 27, 2022: Journal of Clinical Medicine
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