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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. Follow-up ...
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: European Journal of Pediatric Surgery Reports)
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 experienci...
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