Peritoneal Tuberculosis in Infants: Diagnostic Challenges
We report on two infants with peritoneal tuberculosis (6 and 8 months) who underwent laparotomy for suspected intussusception. In the first patient, characteristic lesions of peritoneal tuberculosis were observed intraoperatively with presence of multiple granulations. Tuberculin intradermal reaction (IDRt) was positive and tuberculous contagium could be cultured. In the second patient, the IDRt and GeneXpert tests were negative. In both patients, the histopathological examination of the biopsy specimens confirmed the diagnosis of peritoneal tuberculosis. The clinical courses under tuberculostatic therapy were favorable in...
Source: European Journal of Pediatric Surgery Reports - November 20, 2018 Category: Surgery Authors: Ndoye, Ndeye Aby Mbaye, Papa Alassane Tendeng, Jacques Noel Ciss é, Lissoune Diao, Mamadou Lamine Dieng, Mactar Gueye, Doudou Niang, Dibor Ndour, Oumar Ngom, Gabriel Tags: Case Report Source Type: research

An Unusual Case of Choledochal Cyst
European J Pediatr Surg Rep 2018; 06: e83-e86 DOI: 10.1055/s-0038-1673379Choledochal cyst (CC) is an important surgical cause of jaundice in infants. Infantile variant of CC can mimic biliary atresia in clinical presentation. CC associated with biliary atresia is well described in literature. We encountered an atretic variant of CC that has not been described in literature ever. The characteristics of this unusual case, management, and proposed hypothesis to its pathogenesis are discussed here. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open acc...
Source: European Journal of Pediatric Surgery Reports - October 18, 2018 Category: Surgery Authors: Pathak, Manish Saxena, Rahul Jayakumar, T.K. Sinha, Arvind Yadav, Taruna Tags: Case Report Source Type: research

The Excised Appendix Tip —To Send or not to Send, That is the Question
European J Pediatr Surg Rep 2018; 06: e81-e82 DOI: 10.1055/s-0038-1672166A 9-year-old boy, with previous anorectal malformation and neuropathic bladder and bowel, underwent ileocystoplasty, Monti–Mitrofanoff and appendix antegrade colonic enema procedure. The tip of the macroscopically normal appendix was sent for routine histopathology. Microscopy demonstrated a 5-mm well-differentiated neuroendocrine tumor extending into muscularis propria. Ki-67 index was <2%. Due to margin involvement, the appendix conduit and surrounding skin were re-excised and a tube cecostomy was created through a separate incision. Microscopy...
Source: European Journal of Pediatric Surgery Reports - October 18, 2018 Category: Surgery Authors: Tullie, Lucinda Vadgama, Bhumita Anbarasan, Ravindar Stanton, Michael P. Steinbrecher, Henrik Tags: Case Report Source Type: research

Chronic Urinary Retention due to Fowler's Syndrome
We present a case of a 14-year-old girl who presented at our hospital 2 weeks after uncomplicated laparoscopic appendectomy. The girl complained of reduced urinary frequency and prolonged micturition time. Following an acute cystitis 2 months later, she completely lost her ability to void. A comprehensive set of investigations to assess the cause of her urinary retention including a cerebral and spinal magnetic resonance imaging (MRI), and videourodynamics were performed. The diagnostic workup revealed polycystic ovaries and an asensitive and hypotonic bladder with capacity up to 1200 mL and high maximum urethral pressure ...
Source: European Journal of Pediatric Surgery Reports - October 18, 2018 Category: Surgery Authors: Trachta, Jan Wachter, Johann Kriz, Jan Tags: Case Report Source Type: research

Three-Dimensional Printed Model and Virtual Reconstruction: An Extra Tool for Pediatric Solid Tumors Surgery
Conclusions 3D reconstruction and the full-scale printing models are a useful tool in cases of complex tumor resections as they contribute to a better understanding of the relationships between the tumor and adjacent organs, helping to anticipate certain surgical complications. They also provide additional information to conventional imaging tests, being able to influence therapeutic decisions and facilitate the understanding by the family, improving doctor–patient communication. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full t...
Source: European Journal of Pediatric Surgery Reports - October 18, 2018 Category: Surgery Authors: S ánchez-Sánchez, Ángela Gir ón-Vallejo, Óscar Ruiz-Pruneda, Ram ón Fernandez-Ibieta, Maria Garc ía-Calderon, Darío Villamil, Vanesa Gim énez-Aleixandre, María Cristina Montoya-Rangel, Carlos Andr és Hern ández Bermejo, Juan Pedro Tags: Case Report Source Type: research

Glans Ischemia after Circumcision in a 16-Year-Old Boy: Full Recovery after Angiography with Local Spasmolysis, Systemic Vasodilatation, and Anticoagulation
We report the case of a 16-year-old boy with ischemia of the glans who presented on the first postoperative day after circumcision under DPNB (0.25% bupivacaine) at an outside hospital. The patient underwent immediate angiography under sedation. An intra-arterial spasmolysis was performed with alprostadil and nitroglycerine and a sufficient perfusion of the glans penis was confirmed. Subsequently, systemic sildenafil, arginine, and heparin were given. Following this 3-day medical treatment, ischemia resolved completely. Our case emphasizes the role of invasive angiography in the diagnostic workup and the therapeutic possib...
Source: European Journal of Pediatric Surgery Reports - September 28, 2018 Category: Surgery Authors: Gnatzy, Richard Fuchs, Jochen Siekmeyer, Manuela Beeskow, Anne Bettina Gosemann, Jan-Hendrik Lacher, Martin Tags: Case Report Source Type: research

Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy
We report the case of a 3-year-old boy who presented with an upper respiratory tract infection and severe dyspnea. A chest X-ray revealed a left-sided tension pneumothorax with mediastinal shift and suspected enterothorax. After thoracic computed tomography (CT) scan, a chest tube was inserted, which drained fluid which had the same consistency and color as the one derived from the nasogastric (NG) tube. The boy underwent diagnostic laparoscopy for suspected bowel perforation, which confirmed a left-sided Bochdalek hernia with herniation of the viscera into the chest. After repositioning of the herniated organs into the ab...
Source: European Journal of Pediatric Surgery Reports - August 22, 2018 Category: Surgery Authors: Balks, Maren Friederike Gosemann, Jan-Hendrik Sorge, Ina Lacher, Martin Hirsch, Franz Wolfgang Tags: Case Report Source Type: research

Homemade Glove Port for Single-Incision Pediatric Endosurgery (SIPES) Appendectomy —How We Do It
Conclusion SIPES appendectomy using the glove port is a low-cost alternative to commercially available port systems. It is easy to set up and use. [...] 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 24, 2018 Category: Surgery Authors: Martynov, Illya Lacher, Martin Tags: Video Case Reports Source Type: research

Serious Complications of Intraosseous Access during Infant Resuscitation
We report on a 2.5-month-old infant with ischemia of the left leg and compartment following intraosseous needle application during resuscitation. Unfortunately, this event led to major limb amputation. The cause, mechanism, and prevention of this severe complication are discussed in this article. [...] 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 19, 2018 Category: Surgery Authors: Molacek, Jiri Houdek, Karel Opatrn ý, Václav Fremuth, Jiri Sasek, Lumir Treskova, Inka Treska, Vladislav Tags: Case Report Source Type: research

Closure of a Recurrent Urethrovaginal Fistula in a Girl with Cloacal Anomaly Using Deflux Injection
This report shows that injection of Deflux into a tiny urethrovaginal fistula following refreshing the edges may be a valid treatment option in selected 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 - July 18, 2018 Category: Surgery Authors: Said, Hanan Syed, Salahuddin S. Zeinelabdeen, Ali Fayez, Mohamed Negm Tags: Case Report Source Type: research

Neonatal Intrathoracic Gastric Volvulus in Marfan's Syndrome
We report a 12-day-old male who was admitted with vomiting because of an unusual early complication of Marfan's syndrome (MS): a sliding hiatal hernia. Initial ultrasound showed no stomach at its normal position and the chest X-ray presented an intrathoracic gas bubble with the nasogastric tube inside. An upper gastrointestinal contrast study confirmed the complete herniation of the stomach into the thorax. Via an exploratory laparotomy it was carefully reintroduced into the abdomen, following a hiatal reconstruction. A Thal fundoplication and a gastrostomy were also performed to guarantee its fixation. Although characteri...
Source: European Journal of Pediatric Surgery Reports - July 13, 2018 Category: Surgery Authors: Serradilla, Javier Bueno, Alba Torre, Carlos De La Gamarra, Eduardo Alonso Romo, Martha Mu ñoz Nava Hurtado de Saracho, Francisco de Borja Barrial, Mar ía Álvarez Cervantes, Manuel Gomez Santamaria, Manuel Lopez Tags: Case Report Source Type: research

Arthroscopic Treatment of a Posterior Labral Interposition after a Pediatric Hip Dislocation —A Case Report
We report the case of a 13-year-old boy, who suffered a posterior hip dislocation from playing soccer. Closed reduction was performed urgently. Because of a nonconcentric hip after closed reduction, further imaging was done. An intra-articular bony fragment was identified. Arthroscopic treatment was performed. Through an anterior portal we were able to locate the intra-articular bony fragment, which was located within the region of the fovea. After lifting of the caudal enfolded labral complex, we were able to remove the fragment. Evidence of a grade 3 cartilage defect was present at the femoral head. We were able to reduc...
Source: European Journal of Pediatric Surgery Reports - July 13, 2018 Category: Surgery Authors: Kruppa, Christiane Dudda, Marcel Schildhauer, Thomas A. Seybold, Dominik Tags: Case Report Source Type: research

Surgical Decision Making in Preduodenal Portal Vein: Report of Two Cases in Neonates
We report two cases of PDPV in association with atrial isomerism and malrotation with different surgical management. [...] 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, 2018 Category: Surgery Authors: Rusu, Simona Zaghal, Ahmad Choudhry, Muhammad S. Tags: Case Report Source Type: research

Magnetic Compression Anastomosis in Long-Gap Esophageal Atresia Gross Type A: A Case Report
We present the seventh reported case with successful esophagoesophagostomy obtained by magnetic compression of a long-gap EA type A without thoracotomy. [...] 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, 2018 Category: Surgery Authors: Ellebaek, Mark Bremholm Bremholm Qvist, Niels Rasmussen, Lars Tags: Case Report Source Type: research

Unilateral Straight Hair —A Symptom of Acquired Horner's Syndrome in a Neonate
European J Pediatr Surg Rep 2018; 06: e32-e36 DOI: 10.1055/s-0038-1639479A multicystic tumor of the right neck was detected in a girl at 29 weeks of gestation by fetal ultrasound and magnetic resonance imaging (MRI). The baby was delivered by cesarean section at week 37 of gestation. The newborn adapted well, with minimal compromise of breathing and drinking. Postnatal ultrasound and MRI revealed a cervical lymphangioma measuring 60.5 × 60.6 × 41.2 mm. We performed subtotal resection of the tumor when the girl was 34 days. As a complication of surgical resection, the girl developed ipsilateral Horner's syndrome. ...
Source: European Journal of Pediatric Surgery Reports - April 6, 2018 Category: Surgery Authors: Ott, Chantal Bobylev, Andrei Holland-Cunz, Stefan Gerhard Mayr, Johannes Tags: Case Report Source Type: research