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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 YorkArticle in T...
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 visible bowel ...
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-point duodenal atresia i...
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 pediatrician and p...
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 treat an OI...
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  |  open access Full te...
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  |  open access Full text (Source: European ...
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  |  Abstract  |  open ...
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