Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft
We present the case of a female fetus diagnosed with an AAA on routine prenatal ultrasound. A postnatal computed tomography angiogram revealed an infrarenal AAA with a narrow proximal neck. Surgery was performed on day of life 14 using a cadaveric femoral artery graft. The proximal anastomosis was performed under the microscope given the severity of the aortic stenosis and the proximity of the renal arteries. The patient's postoperative course was uneventful and she is developing normally 1 year after surgery. The graft remains permeable, albeit with evidence of proximal and distal stenosis and graft calcification on imagi...
Source: European Journal of Pediatric Surgery Reports - March 3, 2021 Category: Surgery Authors: Le-Nguyen, Annie Joharifard, Shahrzad C ôté, Geneviève Borsuk, Daniel Ghali, Rafik Lallier, Michel Tags: Case Report Source Type: research

Delayed Diagnosis of a Pyloric Web Causing Gastric Outlet Obstruction in a 13-Month-Old Girl
In this report, we report a case of a girl in whom a pyloric web was diagnosed at the age of 13 months. [...] 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 - March 3, 2021 Category: Surgery Authors: Elifranji, Mohammed Sankar, Jisha Abdelrasool, Israa Brisseau, Guy Tags: Case Report Source Type: research

Loop Ileostomy in Europe's Tiniest Male Newborn for Meconium-Related Ileus
European J Pediatr Surg Rep 2021; 09: e17-e19 DOI: 10.1055/s-0040-1721406With the advances of neonatology, the survival rate for “live-born periviable fetuses” weighing 
Source: European Journal of Pediatric Surgery Reports - March 3, 2021 Category: Surgery Authors: Till, Holger Singer, Georg Castellani, Christoph Urlesberger, Berndt Tags: Case Report Source Type: research

Congenital Anterior Urethrocutaneous Fistula with a Persistent Urethral Groove
We report the case of an 8-month-old boy with CAUF that resembles the embryological urethral groove. On examination, a wide urethral groove was noted to cover the midshaft of the penis with a well formed urethra extending proximally and distally and with a normal glandular anatomy, a wide glandular meatus, and a complete foreskin. The urethral groove was tubularized and covered in layers. Surgery was complicated with early superficial skin dehiscence not affecting the urethral repair.Refashioning of the skin was then performed. A satisfactory aesthetic and functional outcome was observed at 7 years' follow-up. Defining the...
Source: European Journal of Pediatric Surgery Reports - January 29, 2021 Category: Surgery Authors: Mosa, Hazem Garriboli, Massimo Tags: Case Report Source Type: research

Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Preterm Neonate at 1 Kilogram
We report the first successful primary thoracoscopic repair of congenital diaphragmatic hernia (CDH) in a preterm infant born at 28 weeks of gestation weighing 1,043 g. Left-sided CDH was incidentally diagnosed on postnatal chest X-ray on day 1. The neonate subsequently underwent thoracoscopic repair with primary closure of the defect on day 8 weighing 1,150 g. Intraoperative arterial blood gas monitoring including end tidal carbon-dioxide remained within normal range throughout. Postoperative recovery was uneventful. One year neurodevelopmental outcome was normal for age with no CDH recurrence. [...] Georg T...
Source: European Journal of Pediatric Surgery Reports - January 28, 2021 Category: Surgery Authors: Choudhry, Muhammad Rusu, Simona Brooks, Peter Ogundipe, Enitan Chuang, Shu-Ling Tags: Case Report Source Type: research

Advantage of Using 8K Ultra-High-Definition Television System for Kasai Portoenterostomy for Biliary Atresia
We report the case of a 61-day-old girl on whom we performed an exploratory laparotomy and diagnosed type III biliary atresia using intraoperative cholangiography. For the first time, we performed an open KPE using an 8K ultra-high-definition television system. This allowed us to clearly view the porta hepatis and to successfully perform the portoenterostomy. [...] 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 27, 2021 Category: Surgery Authors: Miyagi, Hisayuki Ishii, Daisuke Hirasawa, Masatoshi Shonaka, Tatsuya Sumi, Yasuo Azuma, Nobuyoshi Tags: Case Report Source Type: research

Preoperative Embolization Facilitates Segmental Resection of Pulmonary Sequestration in an Infant
We present a novel approach to the treatment of a pulmonary sequestration in a 7-month-old male using preoperative embolization followed by a sublobar pulmonary resection. The embolization clearly demarcated the affected lung intraoperatively, thereby facilitating complete removal of the lesion with a segmental lung resection rather than complete lobectomy. [...] 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 27, 2021 Category: Surgery Authors: Prasad, Dilan Pennell, Christopher Arthur, Lindsay Grier Prasad, Rajeev Tags: Case Report Source Type: research

Image of the Month: Enterocolitis Following a Pull-through for Total Colonic Hirschsprung Disease in a 2-Year-Old Boy
We present a case of a 2-year-old boy with total colonic Hirschsprung disease (HD) who underwent an ileostomy as a newborn, and then colectomy and pull-through at 10 months of age. Since then he has presented four times with enterocolitis. The case is presented with a focus on evaluating patients with HD who present with obstructive symptoms following corrective surgery. A key image is presented along with questions formatted as a quiz to guide readers through critically evaluating the case. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents ...
Source: European Journal of Pediatric Surgery Reports - January 9, 2021 Category: Surgery Authors: Apte, Anisha McKenna, Elise Levitt, Marc A. Tags: Case Report Source Type: research

A Hirschsprung Pull-through, “with a Twist”
European J Pediatr Surg Rep 2020; 08: e95-e98 DOI: 10.1055/s-0040-1717128Hirschsprung disease is the most common neurocristopathy in children, resulting in the congenital loss of enteric ganglia. Surgery, which involves resecting the aganglionic segment and restoring bowel continuity, usually results in a good outcome; however, some patients suffer from multiple episodes of enterocolitis and other obstructive symptoms. A contrast enema, examination under anesthesia, and rectal biopsy can identify the cause of obstruction in many cases, including a rare explanation, a twist of the pull-through, a case of which we present he...
Source: European Journal of Pediatric Surgery Reports - January 9, 2021 Category: Surgery Authors: Ahmad, Hira Halleran, Devin R. Quintanilla, Raquel Gasior, Alessandra C. Wood, Richard J. Levitt, Marc A. Tags: Case Report Source Type: research

Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach
We report on two cases treated with staged surgical repair using a wound retractor as a silo. With this technique, the liver and intestines could be reduced into the abdomen with secondary closure of the abdominal cavity within the first 1 to 2 weeks of life. [...] 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 - December 15, 2020 Category: Surgery Authors: Nelson, Jana Wachowiak, Robin Siekmeyer, Manuela Knuepfer, Matthias Thome, Ulrich Holger, Stepan Lacher, Martin Tags: Case Report Source Type: research

Sirolimus: A Rescue Drug to Control Complications of Extensive Venous Malformation
In this report, we present a successful case of sirolimus treatment in managing an extensive venous malformation in the pelvis of a 21-month-old boy who presented with life-threatening complications. With a history dating since the day 2 of life, the patient suffered from chronic bleeding due to scrotal skin ulcerations, in addition to recurrent attacks of severe bleeding per rectum necessitating hospital admission and blood transfusion (three attacks since the age of 7 months). Pelvic magnetic resonance image showed the typical findings of extensive venous malformation involving the pelvis, perineum, scrotum, and extendin...
Source: European Journal of Pediatric Surgery Reports - December 15, 2020 Category: Surgery Authors: Abdelbaky, Mohamed Aly Ragab, Iman Ahmed AbouZeid, Amr AbdelHamid Mohammad, Shaimaa Abdelsattar Dahab, Mohamed Moussa Elsherbeny, Mohammed Safaan, Hatem Abdelkader Tags: Case Report Source Type: research

Image of the Month: Decision-Making in Surgery for Late Onset Hirschsprung Disease
We present a case of a 14-year-old boy with chronic distension, poor growth, and chronic constipation. He undergoes anorectal manometry and rectal biopsy, confirming the diagnosis of Hirschsprung disease (HD). The case is presented with a key image and associated questions to prompt discussion on strategies for management and treatment of HD in late-diagnosed children. [...] 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 - December 3, 2020 Category: Surgery Authors: Apte, Anisha McKenna, Elise Levitt, Marc A. Tags: Case Report Source Type: research

Image of the Month: High Pressure Distal Colostogram in a Patient with an Anorectal Malformation
We present two male patients that underwent a divided sigmoid colostomy with distal mucus fistula in the neonatal period and at 6 months of age underwent a high pressure distal colostogram. In the discussion, we will give some tricks beyond the known rules: how to correctly interpret a high pressure distal colostogram, how to identify the level of a recto-urinary fistula, and how to accurately plan the surgical approach. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Fu...
Source: European Journal of Pediatric Surgery Reports - November 23, 2020 Category: Surgery Authors: Apte, Anisha Brisighelli, Giulia McKenna, Elise Levitt, Marc A. Tags: Case Report Source Type: research

Image of the Month: How to Select the Ideal Surgical Approach in Male Anorectal Malformation with No Visible Fistula
We present a case of a 6-month-old male infant with an anorectal malformation (ARM) who underwent colostomy as a newborn, and now presents for definitive repair. A colostogram is shown to identify the malformation and to help plan for the ideal surgical approach. The case is presented with a focus on surgical strategies for management of ARM in the male infant, with questions for the readers posed in a quiz format. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full tex...
Source: European Journal of Pediatric Surgery Reports - November 23, 2020 Category: Surgery Authors: Apte, Anisha McKenna, Elise Levitt, Marc A. Tags: Case Report Source Type: research

Laparoscopic Management of Mechanical Small Bowel Obstruction Secondary to Meckel's Diverticulum with a Double Basis. A Rare Anatomic Presentation
European J Pediatr Surg Rep 2020; 08: e59-e61 DOI: 10.1055/s-0040-1713902Meckel's diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract. Intestinal occlusion due to MD is a commonly observed consequence of intussusception or volvulus. Here, we report a case of an 11-year-old boy who presented to the emergency department with acute abdominal pain, bilious vomiting, and abdominal rebound tenderness. Computed tomography scan concluded a diagnosis of intestinal occlusion with no apparent cause. The patient was submitted to diagnostic laparoscopy, and mechanical occlusion by the permeable Mec...
Source: European Journal of Pediatric Surgery Reports - November 23, 2020 Category: Surgery Authors: Mariani, Aurora Siddiqui, Mohammed Boulard, Nicolas Berrebi, Dominique Bonnard, Arnaud Tags: Case Report Source Type: research

When It Doesn't Fit: Congenital Anomalies of the Choledochus
Conclusions Neither choledochal anomaly fitted into the usual choledochal classification and case 1 appears unique in the 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 - November 9, 2020 Category: Surgery Authors: Reusens, Helena Davenport, Mark Tags: Case Report Source Type: research

Laparoscopic Partial Splenectomy Assisted by Fluorescence in a 13-Year-Old Girl
We present a 13-year-old girl with a symptomatic splenic cyst of 6 cm in diameter located next to the splenic hilum. Laparoscopic partial splenectomy was performed through a 10-mm umbilical approach and three accessory 5-mm ports. Intraoperative intravenous injection of indocyanine green (ICG) at 0.2 mg/kg guided the careful dissection of the splenic hilum and checked the spleen perfusion once the upper arterial branch was clamped. The subsequent wash-out of the ICG allowed inspection of the peripheral vascular return of the splenic remnant through polar veins. Surgery was uneventful with minimal blood loss. ...
Source: European Journal of Pediatric Surgery Reports - October 21, 2020 Category: Surgery Authors: Bada-Bosch, Isabel Mata, David Pel áez de la Torre, Manuel Ord óñez, Javier Blanco, Mar ía Dolores de Agustin, Juan Tags: Case Report Source Type: research

A Case Series of Penile Skin Grafting in Children
We present a case series of four pediatric patients receiving skin grafting due to the loss of penile skin. The four boys were followed up for 1 to 5 years. One full-thickness skin graft and three split-thickness skin grafts (STSGs) survived well with low Vancouver scar scale scores. One boy gradually developed lymphedema of the distal foreskin and underwent a second preputioplasty. He presented with normal erectile function and did not experience any pain. We propose thick STSGs as the most appropriate choice for pediatric penile skin reconstruction. Lymphedema of the foreskin is an important long-term complication of pen...
Source: European Journal of Pediatric Surgery Reports - October 21, 2020 Category: Surgery Authors: Qiu, Lin Zhang, Xuan Liu, Yan Fu, Yuexian Yuan, Xingang Tags: Case Report Source Type: research

Congenital Diaphragmatic Hernia with Intrathoracic Renal Ectopia: Thoracoscopic Approach for a Complete Anatomical Repair
European J Pediatr Surg Rep 2020; 08: e74-e76 DOI: 10.1055/s-0039-3402741Congenital diaphragmatic herniae (CDH) with associated intrathoracic ectopic kidneys are rare congenital anomalies, with a reported incidence of only 0.25%. The authors report a case of a 24-day-old baby girl who was diagnosed with a left-sided CDH on a chest X-ray taken for pneumonia. Computed tomography scan showed CDH hernia, containing small and large bowel and whole left kidney with adrenal gland. Thoracoscopic reduction in the bowel, kidney, and adrenal gland into the abdomen and primary closure of the defect was achieved with no complications. ...
Source: European Journal of Pediatric Surgery Reports - October 21, 2020 Category: Surgery Authors: Mizzi, Colin Farrugia, David Choudhry, Muhammad S. Tags: Case Report Source Type: research

Removal of Ingested Magnetic Bodies via Laparoscopic Appendectomy
European J Pediatr Surg Rep 2020; 08: e68-e70 DOI: 10.1055/s-0040-1714669Ingestion of a foreign body is a frequent diagnosis in the pediatric population. In a small percentage of cases, foreign bodies themselves are strong magnets, and swallowing of multiple magnetic bodies can lead to serious complications in the gastrointestinal tract. Two consecutive case reports of patients who swallowed two magnetic beads are presented. In both cases, the abdominal radiograph described two magnets in contact, one in the area of the left hypochondrium and one in the right hypogastrium. Attempts of endoscopic localization and removal we...
Source: European Journal of Pediatric Surgery Reports - October 21, 2020 Category: Surgery Authors: Dotlacil, Vojtech Frybova, Barbora Vyhnanek, Martin Zeman, Lubos Rygl, Michal Tags: Case Report Source Type: research

Colorectal Hamartoma Presenting As a Perineal Mass in a Boy with Proximal Hypospadias
European J Pediatr Surg Rep 2020; 08: e71-e74 DOI: 10.1055/s-0040-1715182Congenital perineal lesions are rare and can occur along with other birth defects such as anorectal malformations (ARMs) and urogenital anomalies. A colorectal hamartoma associated with a urogenital anomaly without ARM is extremely rare. We recently treated a newborn with posterior hypospadias and a solid perineal mass diagnosed as a colorectal hamartoma. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Eur...
Source: European Journal of Pediatric Surgery Reports - September 17, 2020 Category: Surgery Authors: Wolffenbuttel, Katja P. Sloots, Cornelius E. J. Tags: Case Report Source Type: research

Combined Pre- and Postnatal Minimally Invasive Approach to Complicated Pulmonary Sequestrations
We present two cases of combined pre- and postnatal minimally invasive approach to complicated extra-lobar PS.Patient 1 presented with complicated PS at 31 weeks of gestation. Ultrasound-guided laser coagulation of the anomalous artery was successful. The patient was born asymptomatic at 38 weeks. Neonatal magnetic resonance imaging (MRI) showed a residual mass, confirmed by computed tomography (CT) at 6 months. No systemic artery was described, but perfusion was present. We decided for thoracoscopic resection. A residual artery was identified and sealed. Patient 2 presented with complicated PS at 25 weeks of gestation, un...
Source: European Journal of Pediatric Surgery Reports - September 17, 2020 Category: Surgery Authors: Ichino, Martina Macchini, Francesco Morandi, Anna Persico, Nicola Fabietti, Isabella Zanini, Andrea Leva, Ernesto Tags: Case Report Source Type: research

The First Reported Pediatric Case of Primary Myoepithelial Carcinoma Involving the Whole Lung: Surgical Radical Treatment and Prosthesis Implant
European J Pediatr Surg Rep 2020; 08: e52-e55 DOI: 10.1055/s-0040-1713766Primary myoepithelial carcinoma of the lung (PMC-L) arising from the bronchial glands in lower respiratory tract is exceedingly rare. Thus far, few cases in adults and only one in a pediatric patient have been recorded. To our knowledge, this is the first report of PMC-L successfully removed in a child, focusing on the importance of multidisciplinary primary surgery for the treatment of this tumor. A 7-year-old girl was admitted for persistent cough and fever; she was unresponsive to oral antibiotics. Chest radiography showed loss of volume of left lu...
Source: European Journal of Pediatric Surgery Reports - August 18, 2020 Category: Surgery Authors: Filisetti, Claudia Russo, Tiziana Pansini, Andrea Vella, Claudio Viglio, Camilla Riccipetitoni, Giovanna Tags: Case Report Source Type: research

Pyloric Mucosal Diaphragm Associated with Hypertrophic Pyloric Stenosis: An Unusual Combination in a Male Neonate
We describe herein the case of a 3-week-old baby with persistent nonbilious vomiting, due to a hypertrophic pyloric stenosis (HPS) associated with a congenital pyloric mucosal diaphragm. So far, an association between the two conditions has not been described. The diagnosis of a pyloric mucosal diaphragm was delayed because of its cooccurrence with HPS. [...] 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 - August 6, 2020 Category: Surgery Authors: Chariot, Eugenie Poupalou, Anna Estievenart, Julie Dassonville, Martine Vanderveken, Erwin Steyaert, Henri Tags: Case Report Source Type: research

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 11, 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 11, 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 13, 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 27, 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 27, 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 22, 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 22, 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 13, 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 5, 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 7, 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 7, 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 6, 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 27, 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 30, 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 12, 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 12, 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 12, 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 27, 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 27, 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 27, 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 21, 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 21, 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 21, 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 21, 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 21, 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 30, 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