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

Iatrogenic Compartment Syndrome Secondary to Burn Dressing in a 2-Year-Old Child
We report a severe case of compartment syndrome due to a compressive burn dressing. An otherwise healthy 2-year-old girl presented at her local health center with a superficial partial-thickness thermal burn on the dorsum of the mid phalanx of the second finger of her right hand. A compressive dressing was applied solely to the affected finger. Forty-eight hours afterward, the patient presented in the emergency room with severe pain of the finger. After removal of the dressing, a circular constrictive eschar was observed at the base of the finger, secondary to ischemia due to the compressive dressing. Emergent lateral esch...
Source: European Journal of Pediatric Surgery Reports - October 30, 2019 Category: Surgery Authors: Delgado-Miguel, Carlos Mu ñoz-Serrano, Antonio Jesus Miguel-Ferrero, Miriam Rodr íguez, Karla Estefanía Velayos, Mar ía Triana, Paloma Diaz, Mercedes L ópez-Gutiérrez, Juan Carlos Tags: Case Report Source Type: research

Amyand's Hernia in a Neonate Presenting with Inguinoscrotal Erythema: A Difficult Diagnosis
We present a similar case in a 19-day-old, full-term baby presenting with inguinoscrotal edema, erythema, and without a palpable inguinoscrotal mass. [...] 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 - October 30, 2019 Category: Surgery Authors: Mohamed, Ahmed Fagelnor, Anas Tags: Case Report Source Type: research

Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF)
We report on a newborn with TEF who developed HS after thoracoscopic repair. On the first day of life, the girl (3,480 g, gestation age: 41 week) underwent thoracoscopic repair of a type C esophageal atresia (TEF; OR time 105 minute) without complications. The postoperative course was uneventful, the patient swallowed and thrived well and did not require esophageal dilatations. At 2 years of age, missing facial flushing, transpiration, and warming on the right side of her face during agitation were noticed. As no further intervention was required, the girl and her parents adapted well to the symptoms. Our report shows ...
Source: European Journal of Pediatric Surgery Reports - September 25, 2019 Category: Surgery Authors: Wagner, Richard Lacher, Martin Merkenschlager, Andreas Markel, Moritz Tags: Case Report Source Type: research

First Sternal Cleft Repair Using a Porous Alumina Ceramic Prosthesis in a 9-Year-Old Child
We present the case of a 9-year-old child with complete sternal cleft, treated with an innovative sternal prosthesis. Surgery was performed to protect the heart and also, as pulsations was visible, leading to serious esthetical concerns, to enhance school integration, which was difficult. The porous alumina device used was initially designed for sternal reconstruction after refractory deep sternal wound infection or carcinoma. Surgery and early follow-up were simple. There was no complication and the follow-up of more than 1 year reveals a good healing without breath discomfort and a correct development of the chest wall...
Source: European Journal of Pediatric Surgery Reports - August 25, 2019 Category: Surgery Authors: Fouilloux, Virginie Bertin, Fran çois Peltier, Emilie Jouve, Jean-Luc Tags: Case Report Source Type: research

Laparoscopic Distal Pancreatectomy of a Solid Pseudopapillary Tumor (SPT) Achieves Long-Term Oncologic Safety and Multiorgan Preservation
We present the long-term follow-up of an adolescent girl with an SPT in the pancreatic tail. A multimodality workup including magnetic resonance imaging (MRI) revealed a complex, spherical mass of 4.4 cm × 3.6 cm × 4 cm most likely located in the pancreatic tail. All routine laboratory investigations and tumor markers were within normal limits (alpha fetoprotein [AFP], cancer antigen 125 [CA125], CA 19–9, carcinoembryonic antigen [CEA], adrenocorticotropic hormone [ACTH]). Diagnostic laparoscopy was performed to verify the origin of the tumor in the pancreatic tail. In a three-port technique the tumor was...
Source: European Journal of Pediatric Surgery Reports - August 20, 2019 Category: Surgery Authors: ElHaddad, Ahmed Gasparella, Paolo Castellani, Christoph Singer, Georg Sorantin, Erich Zach, Klara Till, Holger Tags: Case Report Source Type: research

Pullthrough Operation for Hirschsprung's Disease: Importance of a Circumferential (Donut) Biopsy at the Level of the Anastomosis
European J Pediatr Surg Rep 2019; 07: e55-e57 DOI: 10.1055/s-0039-1693494Hirschsprung's disease is characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. It is managed by excision of the aganglionic segment and anastomosis of the ganglionated bowel just above the dentate line. The level of aganglionosis is determined by performing multiple seromuscular biopsies and/or full thickness biopsy on the antimesenteric border of the bowel to determine the level of pullthrough. The transition zone is described as being irregular, and hence a doughnut biopsy is recommended so that the com...
Source: European Journal of Pediatric Surgery Reports - July 14, 2019 Category: Surgery Authors: Jehangir, Susan Soundappan, Soundappan Venkatraman Sannappa Krivanek, Micheal Arbuckle, Susan Graf, Nicole Tags: Case Report Source Type: research

Devastating Complications of Metal Strut Migration Following Pectus Excavatum Repair
We present devastating postoperative complications of a 16-year-old boy after the modified Ravitch procedure for a severe deformity utilizing two metal bars. Four months following surgery, one strut was removed after the displacement noted on a regular postoperative examination. Ten days after the strut removal, the patient complained of lower limb pain but the sensations were attributed to physical inactivity. Two months later, after pain intensification, the boy was diagnosed with bilateral arterial and venous lower limb thromboses and subsequently, the migration of the remaining metal strut intracardially with the free ...
Source: European Journal of Pediatric Surgery Reports - July 11, 2019 Category: Surgery Authors: Stajevic, Mila Bijelovic, Milorad Kosutic, Jovan Simic, Radoje Tags: Case Report Source Type: research

Late Diagnosis of Complete Colonic and Rectal Duplication in a Girl with an Anorectal Malformation
In this report, we present a special case of anorectal anomaly that was associated with complete tubular colonic duplication. The diagnosis was initially missed due to the uncommon sagittal arrangement of duplicated rectum: one rectum was ending externally into the perineum by rectoperineal fistula, while the other was hidden by its internal termination into the vagina. Our final diagnosis for this case was a variant of anorectal anomaly in the female, which was associated with complete colonic duplication. One colon (which was in the free mesenteric border) terminated anteriorly into the vagina as a part of a “short com...
Source: European Journal of Pediatric Surgery Reports - July 4, 2019 Category: Surgery Authors: AbouZeid, Amr AbdelHamid Mohammad, Shaimaa Abdelsattar Ibrahim, Sherif Elhussiny Fagelnor, Anas Zaki, Ahmad Tags: Case Report Source Type: research

First Experience with Fluorescence in Pediatric Laparoscopy
Conclusion Fluorescein-assisted images allowed a clear definition of the anatomy and safe surgical maneuvers during surgical procedures. The ICG imaging system seems to be simple and safe. Larger and more specific studies are needed to confirm its applicability, expand its indications, and address its advantages and disadvantages. [...] 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 4, 2019 Category: Surgery Authors: Fern ández-Bautista, Beatriz Mata, David Pel áez Parente, Alberto P érez-Caballero, Ramón De Agust ín, Juan Carlos Tags: Case Report Source Type: research

Chondromesenchymal Hamartoma in Ectopic Thyroid Tissue in a Neonate
European J Pediatr Surg Rep 2019; 07: e39-e42 DOI: 10.1055/s-0039-1688803A full-term male neonate presented with a left sided cervical lump at the level of the thyroid gland. Magnetic resonance imaging (MRI) showed a benign heterogeneous solid mass with lobulated margins. The tumor underwent complete excision. Histology revealed the diagnosis of chondromesenchymal hamartoma in ectopic thyroid tissue. [...] 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 1, 2019 Category: Surgery Authors: Szepesi, Agnes Juhasz, Zsolt Kover, Anna Kajtar, Bela Benedek, Noemi Kalman, Endre Kovesi, Tamas Imre, Marianna Vajda, Peter Tags: Case Report Source Type: research