Reduction en masse of Inguinal Hernia in a 2-Month-Old Male Infant
European J Pediatr Surg Rep. 2024; 12: e41-e44 DOI: 10.1055/a-2280-9708Reduction en masse is the reduction of the hernial sac into the preperitoneal space, with a loop of bowel remaining trapped at the neck of the hernial sac. This complication is rare, usually associated with inguinal hernias, and is characterized by the absence of a noticeable bulge in the groin. The patient was a 2-month-old male infant and presented with a nonreducible bulge in his left groin, and incarceration of the left inguinal hernia was diagnosed. Manual reduction was performed, and the hernia bulge became less noticeable. He was admitted, and la...
Source: European Journal of Pediatric Surgery Reports - March 26, 2024 Category: Surgery Authors: Kojima, Masato Touge, Ryo Kurihara, Sho Saeki, Isamu Takahashi, Shinya Tags: Case Report Source Type: research

Erratum: Missed Proximal Tracheoesophageal Fistula (TEF) in a Neonate with Type D Esophageal Atresia
European J Pediatr Surg Rep. 2024; 12: e1-e1 DOI: 10.1055/s-0044-1779612 Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  open access Full text (Source: European Journal of Pediatric Surgery Reports)
Source: European Journal of Pediatric Surgery Reports - February 16, 2024 Category: Surgery Authors: Menso, Julia E. Reijntjes, Maud A. Oomen, Matthijs W. Rinkel, Rico N.P.M. Terheggen-Lagro, Suzanne W.J. Gorter, Ramon R. Tags: Erratum Source Type: research

Posterior Sinuplasty: A New Strategy for Managing Hydrocolpos in Cloaca —Case Series
We present a simple surgical technique aiming to improve urine outflow through the common urogenital sinus in cloaca and facilitate drainage of existing hydrocolpos. The study included three cases of cloaca with associated hydrocolpos that were operated during the period 2022 through 2023. The patient is placed in the prone position for a standard posterior sagittal anorectoplasty. The distal rectal fistula is severed flush with the vagina/sinus leaving an open defect in the posterior wall of the vagina/sinus. The defect is then widened distally via a vertical incision (∼1 cm) through the posterior wall of the common u...
Source: European Journal of Pediatric Surgery Reports - February 13, 2024 Category: Surgery Authors: AbouZeid, Amr AbdelHamid Abdelmoniem, Ahmed Saad Fathy, Mohamed Abdelrahman Negm, Mohamed Ahmed Mohammad, Shaimaa Abdelsattar Tags: Case Report Source Type: research

Successful Laparoscopic Hepaticojejunostomy for Infant Congenital Biliary Dilatation with both Aberrant Right Hepatic Artery and Bile Duct from the Caudate Region
European J Pediatr Surg Rep. 2024; 12: e38-e40 DOI: 10.1055/s-0044-1779624A boy with congenital hydronephrosis underwent ultrasonography every month for follow-up. At 4 months of age, ultrasonography incidentally revealed congenital biliary dilatation (5-cm type Ia). We performed laparoscopic extrahepatic bile duct resection and hepaticojejunostomy. After dissecting the dilated common bile duct (CBD), we found that the arcading-like shaped right hepatic artery (RHA) coursed in front of the CBD. Additionally, a tiny duct was identified below the main hepatic duct. At first, we thought it was a lymphatic vessel and dissected...
Source: European Journal of Pediatric Surgery Reports - February 13, 2024 Category: Surgery Authors: Onishi, Shun Yamada, Koji Murakami, Masakazu Harumatsu, Toshio Kawano, Takafumi Ieiri, Satoshi Tags: Video Case Reports Source Type: research

Repair of complex esophageal atresia with tracheobronchial remnant using special magnets
We describe our experience with a patient found to have long-gap EA with a distal cartilaginous ring who was managed using a combination of esophageal lengthening and magnetic compression anastomosis. A 5-month-old girl was referred to us from an outside hospital with type C EA including a very high upper pouch. She had undergone a prior thoracotomy with fistula ligation during which a clip was placed on the lower esophagus, leaving a 2-cm diverticulum on the trachea and a short lower esophageal pouch. Upon endoscopic evaluation at our center, we found a tracheobronchial remnant in the lower esophagus between the clip and ...
Source: European Journal of Pediatric Surgery Reports - February 2, 2024 Category: Surgery Authors: Reich, Charlotte Weigl, Elena Holler, Anne-Sophie Lee, William Harrison, Michael Muensterer, Oliver J. Tags: Case Report Source Type: research

Colonic Resection in an 8-Year-Old Girl with Intractable Functional Constipation and Diffuse Colonic Dysmotility and Failed Antegrade Flushes
We present a patient with such a history, who ultimately achieved successful surgical management of constipation through a stepwise approach. An 8-year-old female presents with longstanding constipation and diffuse colonic dysmotility demonstrated with colonic manometry. She initially underwent sigmoid resection and cecostomy which failed and required diverting ileostomy. We initially proceeded with an extended resection, colonic derotation (Deloyers procedure), and neo-appendicostomy (neo-Malone) which resulted in successful spontaneous stooling for 1 year. Her constipation recurred and she subsequently underwent completi...
Source: European Journal of Pediatric Surgery Reports - January 31, 2024 Category: Surgery Authors: Danziger, Gabriella Xu, Thomas O. Russell, Teresa Lynn Tiusaba, Laura Yun, Jennie Levitt, Marc A. Badillo, Andrea Tags: Case Report Source Type: research

Unintentional Suture Fistula Between the Proximal and Distal Esophagus in a Preterm Neonate with Type C Esophageal Atresia
We present the case of a patient with gross type C esophageal atresia in a preterm neonate (gestational age of 31 weeks + 1 day) with a birth weight of 1,470 g. The fistula was released via a thoracotomy, but no primary anastomosis could be made, due to an unexpected long gap. The distal esophagus was closed and approximated to the blind pouch using traction sutures until an adjacent position was reached. A gastrostomy was created for enteral feeding. Although a second attempt to make an anastomosis was unsuccessful, the patient unexpectedly developed a suture fistula 6 weeks after the first procedure, enabling feeding v...
Source: European Journal of Pediatric Surgery Reports - January 22, 2024 Category: Surgery Authors: Menso, Julia E. Reijntjes, Maud A. Mussies, Carlijn M. van Wijk, Michiel P. Zwaveling, Sander Tags: Case Report Source Type: research

Ureteroinguinal Herniation with Consecutive Ureteral Stricture in a 2-Month-Old Infant: Case Report
In conclusion, signs of ureteral obstruction such as hydronephrosis in patients with inguinal herniation may suggest the possibility of an ureteroinguinal hernia. Preoperative diagnostic suspicion is essential. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: European Journal of Pediatric Surgery Reports)
Source: European Journal of Pediatric Surgery Reports - January 22, 2024 Category: Surgery Authors: Delgado-Miguel, Carlos Mu ñoz-Serrano, Antonio Jesus Aguado, Pablo Fuentes, Ennio D íez, Ricardo Tags: Case Report Source Type: research

Neonatal Sacrococcygeal Fetiform Teratoma Containing Bowel: A Case Report
European J Pediatr Surg Rep. 2024; 12: e11-e15 DOI: 10.1055/a-2206-4825A fetiform sacrococcygeal teratoma (homunculus) is a highly differentiated subgroup of mature cystic teratoma that resembles a malformed fetus. These tumors originate at the base of the coccyx and may vary in their intrapelvic and extrapelvic extent and location. It is important to differentiate this anomaly from fetus-in-fetu which has a higher degree of structural organization. A 5-day-old neonate presented with a type II sacrococcygeal fetiform teratoma. The mass contained both cystic and solid components. Upon surgical excision and coccygectomy, ful...
Source: European Journal of Pediatric Surgery Reports - January 22, 2024 Category: Surgery Authors: Toms, Ashley Govender, Tarlia Rasa Brisighelli, Giulia Harrison, Derek Tags: Case Report Source Type: research

Torsion of an Accessory Liver Lobe in a Newborn
We present the rare case of torsion of an accessory liver lobe in a neonate.A 13-day-old newborn presented with failure to thrive and hematemesis without fever. The initial workup with sonography, magnetic resonance imaging, and upper gastrointestinal study was suspicious of a duplication cyst, most likely in the posterior wall of the stomach. Laboratory and radiological findings were not suggesting a choledochal cyst. We performed a laparotomy with resection of the 3.2 × 2.1 × 1.1 cm mass. Intraoperatively, the cystic formation extended from of the liver bed up to the lesser curvature of the stomach. The mass ...
Source: European Journal of Pediatric Surgery Reports - January 15, 2024 Category: Surgery Authors: Krause, Tobias Cholewa, Dietmar Liniger, Benjamin Berger, Steffen Milosevic, Milan Tags: Case Report Source Type: research

Missed Proximal Tracheoesophageal Fistula (TEF) in a Neonate with Type D Esophageal Atresia
We present the case of a patient with the rare type D esophageal atresia (EA), diagnosed after correction of an EA initially diagnosed as type C. Routine postoperative contrast esophagogram showed a missed proximal tracheoesophageal fistula. This case report illustrates the potential difficulties to diagnose type D EA. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: European Journal of Pediatric Surgery Reports)
Source: European Journal of Pediatric Surgery Reports - January 10, 2024 Category: Surgery Authors: Menso, Julia E. Reijntjes, Maud A. Oomen, Matthijs W. Rinkel, Rico N.P.M. Terheggen-Lagro, Suzanne W.J. Gorter, Ramon R. Tags: Case Report Source Type: research

Massive Chylous Ascites in a 9-Year-Old Girl with Malrotation —A Case Report
We present a video illustrating the Ladd's procedure steps in this patient. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: European Journal of Pediatric Surgery Reports)
Source: European Journal of Pediatric Surgery Reports - January 10, 2024 Category: Surgery Authors: Winberg, Hans Gerwins, P är Hagelsteen, Kristine Tags: Video Case Reports Source Type: research

Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized
We present the case of a healthy 7-year-old boy with a lateral neck mass, triggered by the Valsalva maneuver. Neck ultrasound (US) showed right internal jugular axial ectasia, increasing during the Valsalva maneuver; contrast computed tomography (CT) scan confirmed a fusiform dilatation of the right internal jugular vein. Due to the lack of symptoms, we treated our patient conservatively. At 5 years of follow-up, the patient is still asymptomatic, with no evidence of complications or thrombosis. Due to its self-limiting nature, treatment for asymptomatic cases of CIJP should be conservative, providing a follow-up with both...
Source: European Journal of Pediatric Surgery Reports - August 31, 2023 Category: Surgery Authors: Raffaele, Alessandro Gazzaneo, Marta Romano, Piero Prevedoni Gorone, Maria Sole Avolio, Luigi Tags: Case Report Source Type: research

Combined Pre- and Postnatal Minimally Invasive Approach to a Complex Symptomatic Congenital Pulmonary Airway Malformation
European J Pediatr Surg Rep. 2023; 11: e36-e39 DOI: 10.1055/a-2107-0409Congenital pulmonary airway malformation (CPAM) is a rare congenital lung lesion that usually remains asymptomatic during the fetal and neonatal period. However, it can occasionally cause prenatal cardiocirculatory failure and fetal hydrops, requiring a thoraco-amniotic shunt (TAS) placement. In other cases, it can also cause symptoms at birth (such as respiratory distress) and may require urgent surgical intervention. Thoracoscopic lobectomy for neonates is rarely reported. Here, we report a case of right macrocystic CPAM causing fetal hydrops at 27 we...
Source: European Journal of Pediatric Surgery Reports - July 17, 2023 Category: Surgery Authors: Macchini, Francesco Mazzoleni, Stefano Cavallaro, Giacomo Persico, Nicola Borzani, Irene Leva, Ernesto Tags: Case Report Source Type: research

Hyperspectral Imaging —A Novel Tool to Assess Tissue Perfusion and Oxygenation in Esophageal Anastomoses
We present two cases of with tracheoesophageal fistula (TEF)/EA repair, in whom we applied HSI: the first patient was a newborn with EA type C who underwent open TEF repair. The second one had an EA type A and cervical esophagostomy, in whom we performed gastric transposition. In both patients, HSI confirmed a good tissue perfusion of the later anastomosis. The postoperative course was uneventful and both patients are on full enteral feeds. We conclude that HSI is a safe and noninvasive tool that allows near real-time assessment of tissue perfusion and can contribute to the identification of the optimal anastomotic region ...
Source: European Journal of Pediatric Surgery Reports - June 12, 2023 Category: Surgery Authors: Vaz Pimentel, Duarte Merten, Larissa Gosemann, Jan-Hendrik Gockel, Ines Jansen-Winkeln, Boris Mayer, Steffi Lacher, Martin Tags: Case Report Source Type: research