Complete Resection of a Large Mediastinal Calcifying Fibrous Tumor
European J Pediatr Surg Rep 2020; 08: e48-e51 DOI: 10.1055/s-0040-1713135Calcifying fibrous tumor (CFT) is a benign tumor entity which can present in a variety of different sites. Till date, eight cases with a mediastinal manifestation have been published in literature. Surgical removal is the treatment of choice for this often incidentally detected tumor. Surgery of thoracic CFT may be challenging due to its localization within the mediastinum. A 10-year old boy with a right-sided thoracic pectus carinatum-like deformity was referred for further evaluation, incidentally, revealing a mediastinal mass in computed tomography...
Source: European Journal of Pediatric Surgery Reports - July 12, 2020 Category: Surgery Authors: Bono, G éraldine L. P. Lehner, Markus Schilling, Freimut H. Stahr, Nikolai Nowack, Miriam Szavay, Philipp O. Tags: Case Report Source Type: research

Clinical Quiz: Reconstructive Strategies in a 5-Month-Old Infant with a Cloaca
European J Pediatr Surg Rep 2020; 08: e45-e47 DOI: 10.1055/s-0040-1713136Herein we present a case of 5-month-old female born with a cloaca. She underwent a colostomy at birth and then underwent endoscopy and cloacagram to plan for the definitive reconstruction. The case is presented with a focus on the reconstructive strategies, and questions for the readers are posed in a quiz format. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - July 12, 2020 Category: Surgery Authors: Lane, Victoria A. Levitt, Marc A. Tags: Case Report Source Type: research

Rectal Perforation following High-Pressure Distal Colostogram
European J Pediatr Surg Rep 2020; 08: e39-e44 DOI: 10.1055/s-0040-1709140In patients with anorectal malformations and a colostomy, the high-pressure distal colostogram is the technique of choice to determine the type of malformation and thus to plan the surgical repair. Perforations associated with high-pressure distal colostograms are very rare. The aim of our study was to identify pitfalls to prevent perforation secondary to high-pressure distal colostogram. The study included two male patients and was complicated with rectal perforations secondary to high-pressure distal colostogram. Both patients had an imperforate anu...
Source: European Journal of Pediatric Surgery Reports - May 14, 2020 Category: Surgery Authors: Brisighelli, Giulia Lorentz, Liam Pillay, Tanyia Westgarth-Taylor, Christopher J. Tags: Case Report Source Type: research

Cystoscopy-Guided Laparoscopic Excision of Prostatic Utricle: Report of a Case
European J Pediatr Surg Rep 2020; 08: 035-038 DOI: 10.1055/s-0040-1705155Prostatic utricle (PU) is incomplete regression of Müllerian duct and may cause recurrent urinary tract infections (UTIs), stone formation, postvoid dribbling, and recurrent epididymitis. Although surgical excision is recommended to avoid complications, surgical access to PU has been challenging. Cystoscopy-guided laparoscopic management of PU in a 3-year-old boy is reported to discuss use of other endoscopic aids in the surgical treatment of PU. He was admitted with disordered sexual development with karyotype of 47,XYY/46,XY and has been experi...
Source: European Journal of Pediatric Surgery Reports - April 28, 2020 Category: Surgery Authors: Boybeyi-Turer, Ozlem Demirbilek, Huseyin Soyer, Tutku Tags: Case Report Source Type: research

A Surgical Technique to Repair Perineal Body Disruption Secondary to Sexual Assault
European J Pediatr Surg Rep 2020; 08: e27-e31 DOI: 10.1055/s-0039-1695048Perineal trauma is uncommon in the pediatric population and it is estimated that 5 to 21% is secondary to sexual abuse. We aim to present a proposed surgical technique to repair perineal injuries secondary to sexual assault in female children. The technique is based on the posterior sagittal anorectoplasty (PSARP) for repairing anorectal malformations and, between 2017 and 2019, it was used to treat three girls (2 months, 2 years, and 8 years of age) with fourth-degree perineal injuries secondary to sexual assault. One of them underwent laparotomy and...
Source: European Journal of Pediatric Surgery Reports - April 28, 2020 Category: Surgery Authors: Brisighelli, Giulia Levitt, Marc A. Wood, Richard J. Westgarth-Taylor, Christopher J. Tags: Case Report Source Type: research

Laparoscopic Dismembered Repair in Two Patients with Retrocaval Ureter
We report on two cases treated with our standardized laparoscopic technique using only three 5-mm trocars. The proposed approach could be considered as the first-line treatment for RCU. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - April 23, 2020 Category: Surgery Authors: Cavaleri, Yuri Farullo, Giuseppe Nappo, Simona Gerocarni Caione, Paolo Tags: Case Report Source Type: research

Urothelial Papilloma of the Urinary Bladder in Children: Report of Two Cases
European J Pediatr Surg Rep 2020; 08: e23-e26 DOI: 10.1055/s-0040-1705154Urothelial neoplasms of the bladder (UNB) are considerably rare throughout the pediatric population. UNB develops from the urothelial tissue in the form of a benign disease, generally favoring a successful prognosis in the majority of cases. The authors present the diagnosis and treatment regarding two medical case reports in which urothelial papilloma was diagnosed and effectively treated. Case 1: A 15-year-old male patient was presented to our clinic complaining of a painless yet distinctive, macroscopic form of hematuria. Following a routine examin...
Source: European Journal of Pediatric Surgery Reports - April 23, 2020 Category: Surgery Authors: Davidovics, Kata Davidovics, Sandor Farkas, Andras Benedek, Noemi Tornoczki, Tamas Kardos, Daniel Davidovics, Anna Vajda, Peter Tags: Case Report Source Type: research

Successful Strategy for the Conservative Management of Acquired Tracheoesophageal Fistula Due to Lithium Button Battery Ingestion
We present our experience of the successful nonsurgical management of acquired TEF secondary to LBB ingestion and aim to establish a protocol for managing it conservatively by reviewing the relevant literature. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - April 14, 2020 Category: Surgery Authors: Shibuya, Soichi Azuma, Takahiro Lane, Geoffrey J. Okawada, Manabu Yamataka, Atsuyuki Tags: Case Report Source Type: research

Post Circumcision Intraperitoneal Rupture of the Urinary Bladder: A Rare Complication
We report on a rare case of intraperitoneal bladder rupture in a 7-day-old baby who was circumcised on his second day using the guillotine method. He presented to us with gangrene of the tip of the penis and a failure to void urine associated with progressive abdominal distension. Ultrasound revealed severe ascites. Aspiration and analysis confirmed the fluid to be urine. Ascending cystourethrogram was performed revealing a perforation of the posterior bladder wall near the trigone. Exploration was performed and repair done. Postoperative course was uneventful. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticl...
Source: European Journal of Pediatric Surgery Reports - March 6, 2020 Category: Surgery Authors: Abdelmaksoud, Sherif Albishbishy, Mohammed Elayyouti, Mostafa Zohiri, Mohamed Elsaied, Adham Tags: Case Report Source Type: research

Primary Umbilical Endometriosis in an Adolescent Girl: Unsuspected Pathology
We report a case of PUE possibly the youngest patient reported in the literature.A 16-year-old girl of African origin presented with painful umbilical lump for 2 to 3 months duration with background history of precocious puberty, cyclical vomiting, and menorrhagia. Clinical examination showed dark-colored, tender, irreducible umbilical lump. A provisional diagnosis of incarcerated umbilical hernia was made. Abdominal X-ray showed no features of intestinal obstruction. Ultrasound scan of the abdomen showed lump containing heterogeneous echogenic material measuring 2.0 × 1.5cm within the umbilicus with no...
Source: European Journal of Pediatric Surgery Reports - February 8, 2020 Category: Surgery Authors: Nellihela, Leel Al-Adnani, Mudher Kufeji, Dorothy Tags: Case Report Source Type: research

Devastating Outcomes of Traditional Enemas: Unusual Indications for Well-Known Operations
Conclusions The potential complications associated with the practice of administering at-home enemas can be quite devastating. A transanal pull-through and a PSARP have been proven to be successful techniques in patients who have suffered rectal burns due to traditional enemas. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - February 8, 2020 Category: Surgery Authors: Mshumpela, Cleopatra Brisighelli, Giulia Westgarth-Taylor, Chris Tags: Case Report Source Type: research

Fatal Course of a Male Newborn with Double Duodenal Atresia
We report a newborn male patient who presented to our institution with bilious vomiting, nonpassage of meconium, mild abdominal distension, and a palpable epigastric abdominal mass ∼1 × 1 cm. A faint double bubble was found on abdominal X-ray. On exploratory laparotomy, a duodenal cyst due to double duodenal atresia was found and a typical diamond-shaped duodeno-duodenostomy was created. A postoperative contrast study revealed passage of the contrast media into distal intestine. However, the patient died 2 weeks later due to uncontrolled sepsis and pneumonia. Despite the fact that multiple-po...
Source: European Journal of Pediatric Surgery Reports - February 7, 2020 Category: Surgery Authors: Elrouby, Ahmed Koraitim, Ahmed Tags: Case Report Source Type: research

Image of the Month: Meconium Peritonitis with Pseudocyst —A Spot Diagnosis in Newborns
We report on a male preterm newborn with a large abdominal tumor found on prenatal ultrasound 2 weeks prior to delivery at 36 + 0 weeks of gestation. A postnatal abdominal plain film showed a mass with well-defined rim calcifications (“eggshell”), suggestive of a meconium pseudocyst. On the 4th day of life, the boy underwent exploratory laparotomy with resection of the cyst and end-to-back jejunojejunostomy. The postoperative course was uneventful. A meconium pseudocyst is the correlate of a sterile peritonitis caused by antenatal bowel perforation. It is an easily recognizable spot diagnosis any ...
Source: European Journal of Pediatric Surgery Reports - January 28, 2020 Category: Surgery Authors: Ascherl, Rudolph Vaz Pimentel, Duarte Kn üpfer, Mathias Sorge, Ina Lacher, Martin Zimmermann, Peter Tags: Case Report Source Type: research

Successful Brace Treatment of Pectus Carinatum in Osteogenesis Imperfecta Using the Dynamic Compression System
European J Pediatr Surg Rep 2019; 07: e117-e120 DOI: 10.1055/s-0039-3399557Osteogenesis imperfecta (OI) is a genetic disorder of collagen resulting in a “fragile” skeleton with increased fracture risk and other complications, dependent on the specific variant. Pectus deformities of the chest wall, while not common, can be associated with OI. The use of a pectus carinatum brace in a patient with OI poses unknown risks for fractures and adverse treatment outcomes. We successfully applied external compression bracing using the dynamic compression system to one such patient. This case illustrates the ability to tre...
Source: European Journal of Pediatric Surgery Reports - December 31, 2019 Category: Surgery Authors: Orrick, Beth A. Pierce, Amy L. Snyder, Charles L. Alon, Uri S. Tags: Case Report Source Type: research

Gastrosplenic Fistula without Malignancy Management in a 16-Year-Old Boy
We report a nonmalignant case of 16-year–old male with a gastrosplenic fistula of unclear etiology. The fistulous tract was confirmed by an upper endoscopy and an upper gastrointestinal series. Subsequently, it was surgically managed with a subtotal gastrectomy with “Roux-en-Y” reconstruction and a feeding jejunostomy. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - December 13, 2019 Category: Surgery Authors: Malik, Aila Onwubiko, Chinwendu Chen, Mike Radulescu, Andrei Galloway, David Martin, Colin Tags: Case Report Source Type: research

Testicular –Epididymal Dissociation: Vas and Vessels May “Lead up the Garden Path”
We present a case of high bilateral intra-abdominal testes on a 46,XY boy despite the vas deferens and good-sized vessels passing through the deep rings.Data were collected from clinical records, radiology (ultrasound, magnetic resonance imaging [MRI]), and endocrine blood tests.This case underlines the importance of following the pathway of embryological descent of the testis cranially as well as caudally during diagnostic laparoscopy, to avoid missing this rare anatomical variant. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract &...
Source: European Journal of Pediatric Surgery Reports - December 13, 2019 Category: Surgery Authors: Papageorgiou, Eleni Mantovani, Alberto Monti, Elena Brain, Caroline Smeulders, Naima Cherian, Abraham Tags: Case Report Source Type: research

Juvenile Granulosa Cell Tumor of the Testis: Prenatal Diagnosis and Management
We report a new case of prenatal diagnosis of juvenile-type granulosa cell tumor (JGCT). A fetal ultrasound performed at the 38th week of gestation for suspected nonvertex presentation identified a left multilocular septated cystic testicular mass, suggestive for JGCT. At birth, a painless left scrotal mass was detected. Ultrasound re-evaluation excluded torsion of the testis. Tumor markers and abdominal ultrasound were normal for age. Inguinal exploration revealed a cystic mass beneath the tunica albuginea that had replaced all the normal parenchyma. Since organ-sparing surgery was thus not feasible, an orchiectomy was pe...
Source: European Journal of Pediatric Surgery Reports - December 13, 2019 Category: Surgery Authors: Vatta, Fabrizio Raffaele, Alessandro Pasqua, Noemi Cesari, Stefania Romano, Piero Parigi, Gian Battista Avolio, Luigi Tags: Case Report Source Type: research

Esophageal Lung in a Preterm Boy —Report on a Multidisciplinary Treatment
In conclusion, the management relies on proper definition of the anatomy and the surgical strategy. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - November 28, 2019 Category: Surgery Authors: Villamizar, Enrique Villamizar, Maria Daniela Moreno Ciro, Mauricio Pedraza Pulido, Jean Rodriguez, Maria Villamizar, Juan Carlos Tags: Case Report Source Type: research

Infantile Abdominal and Pelvic Lipoblastomas: A Case Series
We report on three cases of lipoblastomas in infants younger than 4 years, with unusual localizations: one intra-abdominal, discovered during a laparotomy for an intussusception; one pelvic, misdiagnosed as an ovarian mass; and one gluteal with a pelvic extension.All children underwent magnetic resonance imaging as preoperative workup. All tumors were completely resected with free surgical margins and ultrasonographic follow-up was uneventful for all patients. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  | &nbs...
Source: European Journal of Pediatric Surgery Reports - November 28, 2019 Category: Surgery Authors: Guan à, Riccardo Garofalo, Salvatore Ferrero, Luisa Cortese, Maria Grazia Lonati, Luca Teruzzi, Elisabetta Basso, Eleonora Morra, Isabella Lemini, Riccardo Sardi, Nicola Gennari, Fabrizio Tags: Case Report Source Type: research

Fibrous Hamartoma of Infancy in the Scrotum
European J Pediatr Surg Rep 2019; 07: e100-e103 DOI: 10.1055/s-0039-1697924Fibrous hamartoma of infancy is a solid benign tumor of the subcutis, which usually occurs within the first 2 years of life. It predominantly occurs in males, and is clinically presented as a solid, painless, well-limited subcutaneous formation, tending to grow, and in most cases without any symptoms. It occurs in various locations. The aim of this case report was to present a case of a rare tumor of infancy in the scrotal region, in an 8-month-old male infant, with a nonspecific clinical picture, suggestive of a malignant formation, thus presenting...
Source: European Journal of Pediatric Surgery Reports - November 28, 2019 Category: Surgery Authors: Stepan čec, Hrvoje Kokot, Zoran Kereti ć, Draženko Radikovi ć, Sandra Grgurovi ć, Donat Tags: Case Report Source Type: research

Splenic Rupture Secondary to Vascular Ehlers –Danlos Syndrome Managed by Coil Embolization of the Splenic Artery
Conclusions There are only four reports of V-EDS causing splenic rupture in the literature to date. These patients were all adults and only one had not previously been diagnosed with V-EDS. All underwent splenectomy. While V-EDS presenting with abdominal visceral rupture in children has been reported, this is the first report of a child with V-EDS presenting with splenic rupture. It is the only case of splenic rupture secondary to V-EDS that has been managed minimally invasively by embolization. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  | &nb...
Source: European Journal of Pediatric Surgery Reports - November 22, 2019 Category: Surgery Authors: Kamalanathan, Keisha C. Barnacle, Alex M. Holbrook, Charlotte Rees, Clare Tags: Review Article Source Type: research

Intravesical Oxybutynin for Urgent Bladder Rescue in a Newborn with Posterior Urethral Valves
We report the first case of a newborn with posterior urethral valves and ureterovesical junction obstruction caused by detrusor hypertrophy who underwent urgent intravesical instillation of oxybutynin at high doses in an attempt to avoid a diversion procedure. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - November 22, 2019 Category: Surgery Authors: Molina Caballero, Ada P érez Martínez, Alberto Go ñi Orayen, Concepción Sierra Colomina, Gemma Lavilla Oiz, Ana Armendariz Cuevas, Yolanda Tags: Case Report Source Type: research

Currarino Triad: Importance of Preoperative Magnetic Resonance Imaging
European J Pediatr Surg Rep 2019; 07: e86-e89 DOI: 10.1055/s-0039-3399533Currarino triad is a rare syndrome that may be occasionally encountered during managing cases of anorectal anomalies. The triad consists of anorectal anomaly, sacral bony defect, and a presacral mass. It may be familial or sporadic, with a reported female predominance. Identification of the characteristic notched sacrum (sacral scimitar) in plain X-ray (anteroposterior view) is considered the key for the diagnosis; however, not infrequently, this radiological sign is overlooked, especially with a small sacral defect.Excision of the presacral cyst is u...
Source: European Journal of Pediatric Surgery Reports - November 22, 2019 Category: Surgery Authors: AbouZeid, Amr AbdelHamid Mohammad, Shaimaa Abdelsattar Seada, Mohammad Khiamy, Khaled Gamal, Radwa Tags: Case Report Source Type: research

An Unusual Case of Syringohydromyelia Presenting with Neurogenic Bladder
We report the case of a 4-year-old boy who first presented with acute pyelonephritis at the age of 6 months. Diagnostic workup revealed high-grade bilateral vesicourethral reflux (VUR). At the age of 18 months, a bulking agent was used to treat bilateral VUR. Since the VUR persisted, an open bilateral Lich-Gregoir procedure was done at the age of 3 years. Immediately after surgery, he developed acute urinary retention with hydronephrosis that resolved with the placement of dwelling urinary catheter. After removal of the catheter urinary retention relapsed so placement of suprapubic urinary catheter was indicated since he d...
Source: European Journal of Pediatric Surgery Reports - November 22, 2019 Category: Surgery Authors: Geljic, Antonella Abdovic, Slaven Stampalija, Fran Loncar, Lana Tripalo, Batos A. Cuk, Martin Tags: Case Report Source Type: research

Idiopathic Hypertrophic Pyloric Stenosis with Complete Ladd's Band: A Rare Association
European J Pediatr Surg Rep 2019; 07: e66-e68 DOI: 10.1055/s-0039-1698400A male infant aged 45 days presented with projectile nonbilious vomiting for 2 weeks. Ultrasound showed picture of idiopathic hypertrophic pyloric stenosis. Laparoscopic pyloromyotomy was done, but postoperative vomiting that was mainly nonbilious continued without improvement. After 4 days of persistent vomiting, laparoscopic exploration was done and complete pyloromyotomy was confirmed and malrotation with complete Ladd's band was found, then case converted to open laparotomy and Ladd's procedure was done. Postoperatively, vomiting stopped completel...
Source: European Journal of Pediatric Surgery Reports - November 22, 2019 Category: Surgery Authors: Abo Elyazeed, Ahmed M. Shalaby, Mohamed M. Awad, Mohamed M. Effat, AbdelMotaleb M. Abdella, Ahmed E. Shehata, Sherif Mohamed Tags: Case Report Source Type: research

Minimally Invasive Surgery for Pediatric Adrenal Masses —Report on Four Cases
European J Pediatr Surg Rep 2019; 07: e75-e78 DOI: 10.1055/s-0039-1694058The dignity of adrenal masses in children varies from benign lesions like adenoma and ganglioneuroma to malignant tumors like adrenocortical carcinoma and neuroblastoma. Any surgical approach, especially minimally invasive surgery (MIS), requires careful risk stratification based on oncological and technical criteria. Herein, we present four patients who underwent MIS for adrenal masses. Laboratory testing differentiated between simple cysts and adenoma, but could not identify a child with adrenocortical tumor preoperatively. Analysis of image-defined...
Source: European Journal of Pediatric Surgery Reports - October 31, 2019 Category: Surgery Authors: ElHaddad, Ahmed Castellani, Christoph Sorantin, Erich Benesch, Martin Kampelm ühler, Eva Singer, Georg Till, Holger Tags: Case Report Source Type: research

Iatrogenic Compartment Syndrome Secondary to Burn Dressing in a 2-Year-Old Child
We report a severe case of compartment syndrome due to a compressive burn dressing. An otherwise healthy 2-year-old girl presented at her local health center with a superficial partial-thickness thermal burn on the dorsum of the mid phalanx of the second finger of her right hand. A compressive dressing was applied solely to the affected finger. Forty-eight hours afterward, the patient presented in the emergency room with severe pain of the finger. After removal of the dressing, a circular constrictive eschar was observed at the base of the finger, secondary to ischemia due to the compressive dressing. Emergent lateral esch...
Source: European Journal of Pediatric Surgery Reports - October 31, 2019 Category: Surgery Authors: Delgado-Miguel, Carlos Mu ñoz-Serrano, Antonio Jesus Miguel-Ferrero, Miriam Rodr íguez, Karla Estefanía Velayos, Mar ía Triana, Paloma Diaz, Mercedes L ópez-Gutiérrez, Juan Carlos Tags: Case Report Source Type: research

Amyand's Hernia in a Neonate Presenting with Inguinoscrotal Erythema: A Difficult Diagnosis
We present a similar case in a 19-day-old, full-term baby presenting with inguinoscrotal edema, erythema, and without a palpable inguinoscrotal mass. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - October 31, 2019 Category: Surgery Authors: Mohamed, Ahmed Fagelnor, Anas Tags: Case Report Source Type: research

Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF)
We report on a newborn with TEF who developed HS after thoracoscopic repair. On the first day of life, the girl (3,480 g, gestation age: 41 week) underwent thoracoscopic repair of a type C esophageal atresia (TEF; OR time 105 minute) without complications. The postoperative course was uneventful, the patient swallowed and thrived well and did not require esophageal dilatations. At 2 years of age, missing facial flushing, transpiration, and warming on the right side of her face during agitation were noticed. As no further intervention was required, the girl and her parents adapted well to the symptoms. Our rep...
Source: European Journal of Pediatric Surgery Reports - September 26, 2019 Category: Surgery Authors: Wagner, Richard Lacher, Martin Merkenschlager, Andreas Markel, Moritz Tags: Case Report Source Type: research

First Sternal Cleft Repair Using a Porous Alumina Ceramic Prosthesis in a 9-Year-Old Child
We present the case of a 9-year-old child with complete sternal cleft, treated with an innovative sternal prosthesis. Surgery was performed to protect the heart and also, as pulsations was visible, leading to serious esthetical concerns, to enhance school integration, which was difficult. The porous alumina device used was initially designed for sternal reconstruction after refractory deep sternal wound infection or carcinoma. Surgery and early follow-up were simple. There was no complication and the follow-up of more than 1 year reveals a good healing without breath discomfort and a correct development of the chest...
Source: European Journal of Pediatric Surgery Reports - August 26, 2019 Category: Surgery Authors: Fouilloux, Virginie Bertin, Fran çois Peltier, Emilie Jouve, Jean-Luc Tags: Case Report Source Type: research

Laparoscopic Distal Pancreatectomy of a Solid Pseudopapillary Tumor (SPT) Achieves Long-Term Oncologic Safety and Multiorgan Preservation
We present the long-term follow-up of an adolescent girl with an SPT in the pancreatic tail. A multimodality workup including magnetic resonance imaging (MRI) revealed a complex, spherical mass of 4.4 cm × 3.6 cm × 4 cm most likely located in the pancreatic tail. All routine laboratory investigations and tumor markers were within normal limits (alpha fetoprotein [AFP], cancer antigen 125 [CA125], CA 19–9, carcinoembryonic antigen [CEA], adrenocorticotropic hormone [ACTH]). Diagnostic laparoscopy was performed to verify the origin of the tumor in the pancrea...
Source: European Journal of Pediatric Surgery Reports - August 21, 2019 Category: Surgery Authors: ElHaddad, Ahmed Gasparella, Paolo Castellani, Christoph Singer, Georg Sorantin, Erich Zach, Klara Till, Holger Tags: Case Report Source Type: research

Pullthrough Operation for Hirschsprung's Disease: Importance of a Circumferential (Donut) Biopsy at the Level of the Anastomosis
European J Pediatr Surg Rep 2019; 07: e55-e57 DOI: 10.1055/s-0039-1693494Hirschsprung's disease is characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. It is managed by excision of the aganglionic segment and anastomosis of the ganglionated bowel just above the dentate line. The level of aganglionosis is determined by performing multiple seromuscular biopsies and/or full thickness biopsy on the antimesenteric border of the bowel to determine the level of pullthrough. The transition zone is described as being irregular, and hence a doughnut biopsy is recommended so that the com...
Source: European Journal of Pediatric Surgery Reports - July 15, 2019 Category: Surgery Authors: Jehangir, Susan Soundappan, Soundappan Venkatraman Sannappa Krivanek, Micheal Arbuckle, Susan Graf, Nicole Tags: Case Report Source Type: research

Devastating Complications of Metal Strut Migration Following Pectus Excavatum Repair
We present devastating postoperative complications of a 16-year-old boy after the modified Ravitch procedure for a severe deformity utilizing two metal bars. Four months following surgery, one strut was removed after the displacement noted on a regular postoperative examination. Ten days after the strut removal, the patient complained of lower limb pain but the sensations were attributed to physical inactivity. Two months later, after pain intensification, the boy was diagnosed with bilateral arterial and venous lower limb thromboses and subsequently, the migration of the remaining metal strut intracardially with the free ...
Source: European Journal of Pediatric Surgery Reports - July 12, 2019 Category: Surgery Authors: Stajevic, Mila Bijelovic, Milorad Kosutic, Jovan Simic, Radoje Tags: Case Report Source Type: research

Late Diagnosis of Complete Colonic and Rectal Duplication in a Girl with an Anorectal Malformation
In this report, we present a special case of anorectal anomaly that was associated with complete tubular colonic duplication. The diagnosis was initially missed due to the uncommon sagittal arrangement of duplicated rectum: one rectum was ending externally into the perineum by rectoperineal fistula, while the other was hidden by its internal termination into the vagina. Our final diagnosis for this case was a variant of anorectal anomaly in the female, which was associated with complete colonic duplication. One colon (which was in the free mesenteric border) terminated anteriorly into the vagina as a part of a “short...
Source: European Journal of Pediatric Surgery Reports - July 5, 2019 Category: Surgery Authors: AbouZeid, Amr AbdelHamid Mohammad, Shaimaa Abdelsattar Ibrahim, Sherif Elhussiny Fagelnor, Anas Zaki, Ahmad Tags: Case Report Source Type: research

First Experience with Fluorescence in Pediatric Laparoscopy
Conclusion Fluorescein-assisted images allowed a clear definition of the anatomy and safe surgical maneuvers during surgical procedures. The ICG imaging system seems to be simple and safe. Larger and more specific studies are needed to confirm its applicability, expand its indications, and address its advantages and disadvantages. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - July 5, 2019 Category: Surgery Authors: Fern ández-Bautista, Beatriz Mata, David Pel áez Parente, Alberto P érez-Caballero, Ramón De Agust ín, Juan Carlos Tags: Case Report Source Type: research

Chondromesenchymal Hamartoma in Ectopic Thyroid Tissue in a Neonate
European J Pediatr Surg Rep 2019; 07: e39-e42 DOI: 10.1055/s-0039-1688803A full-term male neonate presented with a left sided cervical lump at the level of the thyroid gland. Magnetic resonance imaging (MRI) showed a benign heterogeneous solid mass with lobulated margins. The tumor underwent complete excision. Histology revealed the diagnosis of chondromesenchymal hamartoma in ectopic thyroid tissue. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - July 2, 2019 Category: Surgery Authors: Szepesi, Agnes Juhasz, Zsolt Kover, Anna Kajtar, Bela Benedek, Noemi Kalman, Endre Kovesi, Tamas Imre, Marianna Vajda, Peter Tags: Case Report Source Type: research

Imperforate Anus and Rectourethral Fistula in a Female
We describe a malformation not previously encountered in the literature: imperforate anus associated with a normal urethra, normal vagina, but with a recto urethral fistula. Rectourethral fistula in a female is an extremely rare ARM. Precise workup is required to clarify the anatomy for operative planning. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - June 27, 2019 Category: Surgery Authors: Ahmad, Hira Halleran, Devin R. Dajusta, Daniel McCracken, Katherine Levitt, Marc A. Wood, Richard J. Tags: Case Report Source Type: research

Neuroblastoma of the Urinary Bladder in an Infant
We present a case of an incidentally diagnosed pelvic NBL arising from the dome of the UB in a 7-month-old infant. The mass was treated with surgical excision only after being classified as a very low risk group according to the International Neuroblastoma Risk Group staging system. The patient was disease free after 5 years of follow-up. Although rare, we suggest that NBL should be considered in the differential diagnosis of UB masses in children and investigated accordingly. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |...
Source: European Journal of Pediatric Surgery Reports - June 17, 2019 Category: Surgery Authors: Mohamed, Ahmed Campbell-Hewson, Quentin Gabra, Hany O. S. Tags: Case Report Source Type: research

Possible Approach to Esophageal Lung with Long Tracheobronchial Gap
We report a case of right esophageal lung diagnosed in a neonate. The patient was treated with thoracoscopic closure of the ectopic main bronchus in the neonatal period, followed by delayed pneumonectomy at 5 months of age. No prosthetic substitute was implanted in the ipsilateral hemithorax after pneumonectomy. The patient is now 4 years old and doing well, postpneumonectomy syndrome was never observed. Our strategy and the possible alternatives are discussed here. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  ...
Source: European Journal of Pediatric Surgery Reports - June 17, 2019 Category: Surgery Authors: Ichino, Martina Pugni, Lorenza Zanini, Andrea Morandi, Anna Mosca, Fabio Macchini, Francesco Tags: Case Report Source Type: research

Pseudopancreatic Cyst Extending into the Mediastinum in a 7-Year-Old Child
European J Pediatr Surg Rep 2019; 07: e24-e27 DOI: 10.1055/s-0039-1688802Mediastinal pseudopancreatic cyst (MPP) is the extension of a pancreatic pseudocyst through esophageal or aortic hiatus into the posterior mediastinum. It can produce a range of manifestations caused by compression by the cyst, for instance, odynophagia, dysphagia, pericardial, or pleural effusion. Here we report a case of MPP in a 7-year-old child who was presented with repeated chest infections and left pleural effusion. It was successfully drained by cystogastrostomy. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJourna...
Source: European Journal of Pediatric Surgery Reports - June 17, 2019 Category: Surgery Authors: Kotb, Mostafa Oshiba, Ahmed Ashour, Khaled Tags: Case Report Source Type: research

Fatal Course of Abdominal Neonatal Intestinal Fibrosarcoma
European J Pediatr Surg Rep 2019; 07: e16-e19 DOI: 10.1055/s-0039-1692154Infantile fibrosarcoma (IFS) is a rare nonrhabdomyosarcoma soft tissue tumor and accounts for less than 1% of childhood cancers. Forty per cent are present at birth and only 10% of IFS occurs in the abdomen. Our case of neonatal fibrosarcoma presented as a distal small bowel stenosis complicated with meconium peritonitis. The diagnosis was by histology of the surgical resection. The diagnosis of IFS is challenging as there are no specific features of IFS on imaging. Any unexpected solid lesion should raise the suspicion of complicated bowel tumoral le...
Source: European Journal of Pediatric Surgery Reports - June 9, 2019 Category: Surgery Authors: Boutillier, B éatrice Cardoen, Liesbeth Alison, Marianne Berrebi, Dominique Rosenblatt, Jonathan Virlouvet, Anne-Laure Michon, Jean Soud ée, Sophie Bonnard, Arnaud Tags: Case Report Source Type: research

Emergency Repair of an Isolated Traumatic Avulsion of the Right Main Stem Bronchus in a 7-Year-Old Girl
Conclusion A cluster of clinical signs with subcutaneous emphysema and refractory pneumothorax with air leak of the thoracotomy tube is indicative of bronchial injury. Endotracheal intubation should be postponed in these cases until after thoracostomy tube placement, if possible. Placing a retraction suture during repair is a maneuver that helps to occlude the defect and keep the remaining tracheobronchial lumen open at the same time to establish crucial ventilation of the contralateral lung. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  ...
Source: European Journal of Pediatric Surgery Reports - May 26, 2019 Category: Surgery Authors: K önig, Tatjana Tamara Wittenmeier, Eva Muensterer, Oliver J. Tags: Case Report Source Type: research

Salvage Laparoscopic-Assisted Anorectoplasty after Failed Vestibular Fistula Repair Using Magnetic Resonance Image Guidance
We present a case of salvage operation of a failed PSARP for vestibular fistula. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - May 23, 2019 Category: Surgery Authors: Ralls, Matthew W. Fallon, Brian P. Ladino-Torres, Maria Ehrlich, Peter F. Jarboe, Marcus D. Tags: Case Report Source Type: research

Bilateral Pulmonary Langerhans's Cell Histiocytosis is Surgical Challenge in Children: A Case Report
Conclusion Despite the use of chemotherapy and surgical excision of cystic lesions, bilateral PLCH in children may have lethal outcome. Other treatment options including respiratory support with ECMO and lung transplantation should be considered as last resort of treatment alternative in persistent cases. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle 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 - May 23, 2019 Category: Surgery Authors: Soyer, Tutku Özyüksel, Gül T ürer, Özlem Boybeyi Çakmakkaya, Kübra Yavuz, Sinan Yal çın, Bilgehan Orhan, Diclehan Yal çın, Ebru Do ğru, Deniz Bayrak çı, Benan Kiper, Nural Aky üz, Canan Tags: Case Report Source Type: research

Giant Mesenteric Cyst and Right Sided Syndrome in a 15-Year-Old Boy
We report on a 15-year-old male who presented with progressive abdominal distension, early satiety, and difficulty walking or running. Abdominal ultrasound and computed tomography (CT) revealed a giant mesenteric cyst, absence of the right kidney, and left moderate hydronephrosis. After excision of the cyst, the patient was fully recovered. Our report shows that both conditions may occur in the same patient and therefore an association of these two diseases cannot be excluded. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |...
Source: European Journal of Pediatric Surgery Reports - May 23, 2019 Category: Surgery Authors: Tamene, Ayanaw Desta, Melkam Tebeje, Habeneyom Getie, Yeshiambel Berhane, Hailemariam Tags: Case Report Source Type: research

Using a Miniature Stapler to Divide a Mucosal Bridge at the Anastomosis after Gastric Pull-up for Iatrogenic Tracheoesophageal Fistula
We report the first use of a miniature stapler to divide a mucosal bridge at the gastroesophageal junction after complex esophageal atresia (EA) repair. A 4-year-old girl was referred to our center after treatment of EA elsewhere. On our initial enodoscopy, a large iatrogenic tracheoesophageal fistula had formed, prompting us to perform a tracheoplasty and gastric interposition. One year after recovery, she had dysphagia with solid food. Upon endoscopy, a mucosal bridge was noted at the gastroesophageal anastomosis. This bridge was divided under endoscopy using a 5 mm miniature stapler. No complications were noted. ...
Source: European Journal of Pediatric Surgery Reports - March 9, 2019 Category: Surgery Authors: Kawano, Takafumi Muensterer, Oliver J. Tags: Video Case Report Source Type: research

Laparoscopic Repair of a Left Retrocaval Ureter in a 16-Year-Old Girl
We report a female adolescent who presented with a history of intermittent, colicky lumbar pain. Diagnostic workup revealed left retrocaval ureter and left ureterohydronephrosis. The girl underwent laparoscopy. The renal pelvis and ureter posterior to the vena cava were dissected, transected at the caudal point of the dilated ureteral segment, and uncrossed and repositioned lateral to the vena cava. Ureteroureterostomy was performed over a double-J ureteral stent after spatulation of the distal ureter. The postoperative course was uneventful and the ureteral stent removed after 5 weeks. During follow-up, the patient is sym...
Source: European Journal of Pediatric Surgery Reports - February 22, 2019 Category: Surgery Authors: Kadar, Anna Vatra, Lorena Avram, Anca Stoica, Daniela Oancea, Marcel Tags: Case Report Source Type: research

Lung Transplantation for Late-Onset Pulmonary Hypertension in a Patient with Congenital Diaphragmatic Hernia
European J Pediatr Surg Rep 2018; 06: e100-e103 DOI: 10.1055/s-0038-1675377Lung hypoplasia and pulmonary hypertension (PH) in association with congenital diaphragmatic hernia (CDH) may cause fatal respiratory failure. Lung transplantation (Ltx) may represent an option for CDH-related end-stage pulmonary failure. The aim of this study is to report a patient with CDH who underwent Ltx or combined heart-lung transplantation (H-Ltx). Our patient was born at 33 weeks of gestation, with a prenatally diagnosed isolated left CDH. Twenty-four hours after birth, she underwent surgical repair of a type D defect (according to the CDH ...
Source: European Journal of Pediatric Surgery Reports - December 26, 2018 Category: Surgery Authors: Iacusso, Chiara Morini, Francesco Capolupo, Irma Dotta, Andrea Sgr ò, Stefania Parisi, Francesco Carotti, Adriano Bagolan, Pietro Tags: Case Report Source Type: research

Serial Reduction of an Extremely Large Gastroschisis using Vacuum-Assisted Closure
European J Pediatr Surg Rep 2018; 06: e97-e99 DOI: 10.1055/s-0038-1676045We herein describe a case of serial reduction of an extremely large and complex gastroschisis using vacuum-assisted closure (VAC) therapy in a boy born at 355/7 weeks' gestation. A spring-loaded silicone silo was placed at birth. By day of life (DOL) 22, minimal visceral contents had been reduced, and the silo was difficult to maintain due to the size of the fascial defect and loss of abdominal domain. A bespoke VAC dressing was constructed, and biweekly dressing changes allowed gradual reduction of the gastroschisis until the viscera were consolidate...
Source: European Journal of Pediatric Surgery Reports - December 26, 2018 Category: Surgery Authors: Butler, Marilyn W. Fuchs, Julie Bruzoni, Matias Tags: Case Report Source Type: research

Intestinal Duplication and Hirschsprung's Disease: An Extremely Rare and Misleading Combination
European J Pediatr Surg Rep 2018; 06: e94-e96 DOI: 10.1055/s-0038-1675378Hirschsprung's disease and, more rarely, intestinal duplication can both cause intestinal obstruction in neonates. The simultaneous occurrence of these two diseases is reported in only two studies, and in both cases, intestinal duplication was an incidental finding, as it had not determined clinical intestinal occlusion. This paper reports a unique case of coexistence of the two conditions, with both causing intestinal obstruction, delayed appropriate, and definitive surgical treatment. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle i...
Source: European Journal of Pediatric Surgery Reports - December 26, 2018 Category: Surgery Authors: Vatta, Fabrizio Raffaele, Alessandro Pasqua, Noemi Brunero, Marco Pelizzo, Gloria Avolio, Luigi Tags: Case Report Source Type: research