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Porous Ceramic Sternal Prosthesis Implantation in a 13-Year-Old Patient Presenting with Metastatic Ewing's Sarcoma
We present the case of a 13-year-old patient treated with the use of a radiolucency porous bioceramic prosthesis as a sternal replacement for a wide tumor resection in an oncologic context. Focal radiation therapy was not possible due to the high risk of severe myocardial injuries caused by the sternal location of the tumor. The sternum CERAMIL® (I.CERAM, Limoges, France), in porous alumina (Al2O3) has already been implanted into adults in sternal replacement during its invasion by a tumor or its infectious destruction. There were no complication concerning the surgery. The last follow-up at 2 years postoperatively reveal...
Source: European Journal of Pediatric Surgery Reports - January 15, 2022 Category: Surgery Authors: Mainard, Nicolas Sharma, Dyuti Fron, Damien Mezel, Aur élie Canavese, Federico Bonnevalle, Michel Nectoux, Eric Tags: Case Report Source Type: research

Communicating Bronchopulmonary Foregut Malformation Type IB: Diagnostic and Surgical Challenges
We present a complex case of type IB CBPFM with esophageal atresia and distal tracheoesophageal fistula (EA/TOF), duodenal atresia/annular pancreas (DA/AP), and intestinal malrotation who underwent primary repair for EA/TOF on day 3. Bilious aspirates on day 8 prompted an upper gastrointestinal (GI) contrast revealing a duodenal obstruction and communication between the right lung lower lobe and the esophagus (T8-T9 level). DA/AP and malrotation were repaired by a gastrojejunostomy and Ladd's procedure. A repeat contrast swallow identified a 2nd communication from the esophagus into the right lower lobe (T5-T6 level) raisi...
Source: European Journal of Pediatric Surgery Reports - December 13, 2021 Category: Surgery Authors: Jadhav, Bhushanrao Vaseeharan, Ranjithatharsini Sekaran, Prabhu Folaranmi, Semiu Eniola Awad, Karim Tags: Case Report Source Type: research

Primary Segmental Small Bowel Volvulus in an Adolescent Female
We report on a 14-year-old girl who presented with severe colicky abdominal pain but showed no other signs of peritoneal irritation or bowel obstruction. An emergency magnetic resonance imaging was highly suspicious for small bowel volvulus. Emergency laparotomy revealed a 115 cm segment of strangulated distal ileum with no underlying pathology. We performed a detorsion of the affected bowel segment. Despite the initial markedly ischemic appearance of the affected bowel segment, the patient achieved full recovery without resection of bowel becoming necessary. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttga...
Source: European Journal of Pediatric Surgery Reports - November 24, 2021 Category: Surgery Authors: Heidtmann, Friederike Eckoldt, Felicitas Mentzel, Hans-Joachim Alhussami, Ilmi Tags: Case Report Source Type: research

Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report
European J Pediatr Surg Rep. 2021; 09: e72-e75 DOI: 10.1055/s-0041-1735807Fetal lung interstitial tumor (FLIT) is a rare primary lung mass in neonates. Classical incisions, such as posterolateral thoracotomy or median sternotomy, do not provide optimal exposure of the operative field for the resection of pediatric thoracic giant tumors. Herein, we report a rare case of a FLIT in a full-term male neonate, with complete resection achieved using a hemi-clamshell approach, which provided the required visualization of the operative field. The neonate was transferred to our hospital because of mild respiratory distress, which de...
Source: European Journal of Pediatric Surgery Reports - November 24, 2021 Category: Surgery Authors: Kuroda, Yasuhiro Fukuzawa, Hiroaki Kawahara, Insu Morita, Keiichi Tags: Case Report Source Type: research

Clinical Quiz —A Rare Case of Anal Canal Duplication in the Context of Currarino Syndrome
We present a case that lies on the CS spectrum with an associated ACD and discuss a complex surgical challenge that necessitated a customized management plan, devised through a multidisciplinary approach. [...] 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 - November 10, 2021 Category: Surgery Authors: Connor, Sean Jared Brisighelli, Giulia Patel, Nirav Levitt, Marc A. Tags: Case Report Source Type: research

Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl
We report on a 13-year-old boy with uncomplicated appendicitis and a 17-year-old girl with complicated, perforated appendicitis and perityphlitic abscess in whom initially successful antibiotic treatment led to a delay in detection of a carcinoid tumor (neuroendocrine tumor, NET) of the appendix. NET of the appendix, with an incidence of 0.03 to 0.8% in the pediatric population undergoing appendectomy for acute appendicitis, are usually incidental findings after appendectomy with no secure method for detection prior to surgery. Raising concern about this rare but severe disease, we recommend information of patients and the...
Source: European Journal of Pediatric Surgery Reports - November 10, 2021 Category: Surgery Authors: Korsch, Leonie Annina Michael Boemers, Thomas Zimmermann, Peter Stenzel, Martin Wendenburg, Wera Tags: Case Report Source Type: research

Severe Spontaneous Pneumomediastinum in a Girl with Cystic Fibrosis
We report on an 11-year-old girl with cystic fibrosis who presented with thoracic pain and an extensive subcutaneous emphysema and subsequently developed progressive respiratory distress. The chest computed tomography revealed a huge pneumomediastinum. Due to the development of severe respiratory failure, urgent needle thoracocentesis was necessary that resulted in only temporary improvement. Therefore, under general anesthesia two mediastinal drains were introduced. Using active suction, the size of the pneumomediastinum decreased gradually and the drains were removed after 3 weeks. Here, we describe an extremely rare sit...
Source: European Journal of Pediatric Surgery Reports - October 1, 2021 Category: Surgery Authors: Zsibor ás, Csaba Adonyi, M ária Stankovics, J ózsef Farkas, Andr ás Vajda, Peter R ózsai, Barnabás Tags: Case Report Source Type: research

Pelvic Venous Congestion Secondary to a Circumaortic Renal Collar in an Adolescent Female: Report of a Case
We report a 13-year-old girl who presented with a recurrent abdominal pain that started after her menarche. The abdominal palpation revealed tenderness over the left ovarian point. The laboratory study, ultrasonography, and abdominal X-ray were normal. The computed tomography and magnetic resonance imaging showed a double left renal vein with a retroaortic component, an increased left parauterine circulation, and ipsilateral ovarian vein engorgement. A diagnostic and therapeutic phlebography allowed a selective catheterization of a group of pelvic varicose veins draining to the left ovarian and to the internal iliac veins....
Source: European Journal of Pediatric Surgery Reports - August 10, 2021 Category: Surgery Authors: Alonso-Arroyo, Ver ónica Velasco, Jose Javier P érez-Bertólez, Sonia Molina, Maria Elena Marugan-de-Miguelsanz, Jose Manuel Sanchez-Abuin, Alberto Beltran, Oscar Dario Gomez Tags: Case Report Source Type: research

Erratum to: Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft
European J Pediatr Surg Rep 2021; 09: e50-e50 DOI: 10.1055/s-0041-1730902 Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  open access Full text (Source: European Journal of Pediatric Surgery Reports)
Source: European Journal of Pediatric Surgery Reports - July 12, 2021 Category: Surgery Authors: Le-Nguyen, Annie Joharifard, Shahrzad C ôté, Geneviève Borsuk, Daniel Ghali, Rafik Lallier, Michel Tags: Erratum Source Type: research

Anorectal Malformation with Rectovestibular Fistula and Vaginal Agenesis: Usage of Rectovestibular Fistula as a Neovagina Followed by PSARP with Preservation of the Anal Sphincter
We report on a child in whom this combination was diagnosed at the age of 1 year. After creation of a divided descending colostomy, we chose to leave the rectum-rectovestibular fistula to function as a neovagina, while the sigmoid colon was relocated via modified posterior sagittal anorectoplasty. The colostomy was closed 6 months after the main surgery. After a follow-up of 3 years, the patient is continent for stool and urine. The introitus of the neovagina appears wide and easy to explore. We conclude that our surgical approach may be a good option for these children. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 704...
Source: European Journal of Pediatric Surgery Reports - July 12, 2021 Category: Surgery Authors: Dessanti, Antonio Louisma, Osnel Pierre, Gabriel Steve Liem, Nguhien Thanh Tags: Case Report Source Type: research

Posterior Cloacal Variant with Clitorolabial Transposition and a Rectoperineal Fistula
We present a case and discuss the management of a posterior cloacal variant not as yet described in the literature. A 5-week-old infant presented to our institution with a posterior cloacal variant and transposition of the clitoris and labia. After initial radiological investigations, staged operative intervention was performed over a 1-year period. This included an initial laparotomy (with drainage of hydrocolpos and formation of a colostomy), a left ureteric reimplantation and a posterior sagittal anorectoplasty due to a rectoperineal fistula. The child is under continued long-term follow-up by our specialist pediatric s...
Source: European Journal of Pediatric Surgery Reports - May 18, 2021 Category: Surgery Authors: Maistry, Niveshni Brisighelli, Giulia Westgarth-Taylor, Chris Tags: Case Report Source Type: research

A Novel Surgical Approach for the Management of Cloacal Exstrophy with a Giant Omphalocele
European J Pediatr Surg Rep 2021; 09: e41-e45 DOI: 10.1055/s-0041-1728719Cloacal exstrophy is a rare malformation that presents as a lower midline abdominal wall defect which affects the gastrointestinal and genitourinary systems. The components of cloacal exstrophy characteristically include omphalocele, exstrophy of perineal structures, and imperforate anus. Most of these patients also have renal anomalies such as pelvic kidney, fused kidneys, or solitary kidneys. This congenital condition can also be associated with spinal issues, such as spinal dysraphism. When combined with spinal defects, it is referred to as the omp...
Source: European Journal of Pediatric Surgery Reports - May 18, 2021 Category: Surgery Authors: Smith, Caitlin A. Avansino, Jeffrey R. Merguerian, Paul Lane, Victoria Levitt, Marc Tags: Case Report Source Type: research

Ulcerative Colitis of the Neovagina in a Toddler with Cloaca and Chronic Kidney Disease
European J Pediatr Surg Rep 2021; 09: e33-e36 DOI: 10.1055/s-0041-1726868The case of a toddler with long-channel cloaca, mild chronic kidney disease (CKD) due to renal dysplasia, and early onset of ulcerative colitis (UC) is herein reported. The patient underwent definitive repair of cloaca, that included vaginal elongation with colon, at 5 months of age and was admitted for episodes of vaginal bleeding at 22 months of age. A vaginoscopy revealed a severe inflammation of the colonic neovagina. As rectal bleeding was also noticed, she underwent a colonscopy that showed the same macroscopic inflammatory picture. Neovaginal a...
Source: European Journal of Pediatric Surgery Reports - May 18, 2021 Category: Surgery Authors: Erculiani, Marta Zanatta, Cinzia Vidal, Enrico Martelossi, Stefano Midrio, Paola Tags: Case Report Source Type: research

Posterior Mediastinal and Cutaneous Back Hemangiomas in Infants: A New Association
In this report, we present a new association where deep paravertebral hemangiomatous lesions were observed to be associated with cutaneous back hemangiomas in two consecutive cases. [...] 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 - May 12, 2021 Category: Surgery Authors: AbouZeid, Amr AbdelHamid Mohammad, Shaimaa Abdelsattar Aly, Heba Gomaa Ragab, Iman Ahmed Tags: Case Report Source Type: research

Skip Segment Hirschsprung Disease Managed by Pull-Through of the Right Colon
We present a case of skip lesions known prior to surgery and managed by pull-through of the right colon that allowed the preservation of the colon. [...] 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 25, 2021 Category: Surgery Authors: Ahmad, Hira Vilanova-S ánchez, Alejandra Amengual, Isabel Guerra-Pastrian, Laura Garrido-Pontnou, Marta Montalvo, Cristina Bueno, Alba Langer, Jacob Wood, Richard J. Levitt, Marc A. Tags: Case Report Source Type: research