Multiple congenital colonic stenosis – A case report and review of literature
Publication date: Available online 13 August 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Rujuta S. Shah, S. Soundharya, Sandesh V. Parelkar, Beejal V. Sanghvi, Rahul K. Gupta, Kedar P. Mudkhedkar, Deepa P. Makhija, Ashutosh K. Sharma, Pragati Sathe (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - August 13, 2019 Category: Surgery Source Type: research

Isolated anorectal malformation with rectoperineal fistula in monozygotic twins
Publication date: Available online 10 August 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Yuki Muta, Akio Odaka, Seiichiro Inoue, Yoshifumi BeckAbstractIncidence of anorectal malformation (ARM) is reportedly 1 in approximately 2500–5000 live births. While its etiology remains elusive, most evidence indicates genetic factors to be the major cause. One-third of all ARM cases are isolated, whereas the others are a part of other anomalies (syndromic). Herein, we report a case of low-level ARM with anocutaneous fistula in monozygotic twins. Male monozygotic twins (birth weight, 3036 and 2706 g, respec...
Source: Journal of Pediatric Surgery Case Reports - August 11, 2019 Category: Surgery Source Type: research

Undifferentiated embryonal sarcoma and the role of liver transplantation
We present a case of an 8 year-old boy with a large undifferentiated embryonal sarcoma of the liver who experienced disease progression after initial neoadjuvant chemotherapy. His tumor was considered unresectable after internal tumor board review due to its size and significant vascularity, ultimately making OLT the only curative option for this patient. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - August 11, 2019 Category: Surgery Source Type: research

Giant lobular capillary hemangioma of the breast
We report the case of a 9-month-old girl with ulcerated breast mass which bleeds easily since two months with anemia. In fear of a malignant tumor, complete surgical removal of all breast tissue was performed successfully. Histopathologic study of the surgical specimen concluded to giant lobular capillary hemangioma with healthy borders. The infant is recurrence free at 6 months of follow up. Giant lobular capillary hemangioma of the breast with ulceration and easily bleeding may be mistaken for malignancy tumor. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - August 7, 2019 Category: Surgery Source Type: research

Incomplete limb ischemia as a complication in a pediatric patient with toxic-shock syndrome
We present the case of a 3-year-old boy who developed a toxic shock syndrome with multiple organ failure after streptococcal A pharyngitis. In addition, the combination of an indwelling arterial catheter in the left femoral artery, high-dose catecholamine administration and desolate condition of the extremities in the course of the shock syndrome led to a pronounced dermal defect on the left distal lower leg with muscular necrosis. Modern intensive care medicine makes the survival of the most serious diseases possible. Invasive methods are indispensable. Unfavorable constellations, such as hypotension, coagulation disorder...
Source: Journal of Pediatric Surgery Case Reports - August 7, 2019 Category: Surgery Source Type: research

A novel use of the Resorb X® plating system in pediatric chest wall reconstruction
Publication date: Available online 3 August 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): DeAsia D. Jacob, Rachel E. Aliotta, Neilendu Kundu, David K. Magnuson, Francis A. PapayAbstractCongenital diaphragmatic hernia (CDH) is an infrequent occurrence but can present a complex situation for physicians. The respiratory system can be affected in various ways. Primary closure often is not feasible and many autologous tissue, prosthetic and biosynthetic options exist to assist with closure. Many of the sequelae of this repair manifest later in childhood with revision being common for many reasons, most commonl...
Source: Journal of Pediatric Surgery Case Reports - August 4, 2019 Category: Surgery Source Type: research

Surgical abdominal exploration in children with umbilical ectopic gastrointestinal tissue
We present two pediatric cases of umbilical ectopic gastrointestinal tissue with coexistent Meckel's diverticulum. This case report emphasizes the importance of surgical abdominal exploration in pediatric cases with suspected or diagnosed umbilical ectopic gastrointestinal tissue, to rule out coexistent remnants of the omphalomesenteric duct and to prevent further complications. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - August 4, 2019 Category: Surgery Source Type: research

Jejunal cavernous hemangioma presenting with small bowel obstruction in a toddler
Publication date: Available online 3 August 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Faraz Khan, Andrea Gillis, Sunil Narayan, Lisa Ribons, Mary EdwardsAbstractVascular malformations involving the gastrointestinal tract are uncommon and have a variety of clinical presentations. In this paper, we present a case of a jejunal vascular malformation presenting as a small bowel obstruction in a 2-year-old boy. After clinical and radiologic evaluation, the patient underwent an exploratory laparotomy during which a jejunal mass was identified as the cause of the obstruction and was removed. Pathologic diagno...
Source: Journal of Pediatric Surgery Case Reports - August 4, 2019 Category: Surgery Source Type: research

Lactating adenoma arising from a tubular adenoma in a pediatric patient
Publication date: Available online 3 August 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Maria Tran, Roshini Pudhucode, Janice Aportela, Smita Sharma, Marie Crandall, Bharti JasraAbstractWe are reporting a rare case of tubular adenoma of the breast in a pediatric patient progressing to a lactating adenoma during pregnancy. The patient first noticed the mass at 14 years of age, and the size did not change considerably until pregnancy. The patient became pregnant at 16 years of age, and the breast tumor size increased to 20 × 20 cm in size. Magnetic Resonance Imaging (MRI) revealed an enhancing...
Source: Journal of Pediatric Surgery Case Reports - August 4, 2019 Category: Surgery Source Type: research

Salmonella enteridis ovarian abscess in a 10-year-old patient in New Caledonia - Case report and review of the literature
We report a case of Salmonella enteridis ovarian abscess in a 10-year-old patient with no medical history and favorable outcome after surgical management and effective antibiotic therapy. The difficulty of our clinical case was to preserve the ovarian reserve of our patient so as not to cause a long-term fertility disorder. The review of the literature has allowed us to highlight some cases of Salmonella ovarian abscess, particularly Salmonella typhi. It was mostly patients of childbearing age who generally presented an underlying pathology (digestive, auto-immune) that may promote opportunistic pelvic infections. On the o...
Source: Journal of Pediatric Surgery Case Reports - August 3, 2019 Category: Surgery Source Type: research

Combined management of a disfiguring facial hemangioma by endovascular embolization and surgical excision: Case report
Publication date: Available online 1 August 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Moutaz Ragab, Omar Mansour, Ayman Hussein, Wesam Mohamed, Ahmed Ghobashy, Farouk Hassan, Mohamed Ghobashi, Amr NassefAbstractInfantile hemangiomas are considered the most common benign soft tissue tumors of infancy, occurring in 4%–10% of children under 1 year of age, with female to male ratio about 4:1. Within the first weeks of life, they enter a rapid proliferative phase lasting for 3–6 months; a period of stabilization for a few months follows with spontaneous involution usually occurring over several...
Source: Journal of Pediatric Surgery Case Reports - August 3, 2019 Category: Surgery Source Type: research

Total colonic tubular duplication causing severe constipation
ConclusionsDuplications of the colon are rare and the diagnosis is not easy. Two main problems occurred during surgery: differentiating between normal and duplicated colon and removing the duplication avoiding extensive colonic resections. Resection of the common wall, mucosectomy and removal of the duplicated colon represented a feasible and safe procedure. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - August 3, 2019 Category: Surgery Source Type: research

Management of extensive subcutaneous emphysema using vacuum-assisted closure therapy
We present a 7 years old came with a complaining of shortness of breath (SOB) with neck swelling and he was mildly distressed. CT scan showed right pneumothorax, pneumomediastinum, pneumopericardium and extensive subcutaneous emphysema. In the operating room (OR), intercostal chest tubes were inserted bilaterally and bilateral transverse sub-clavicular incisions connected to a vacuum assistant wound closure device (VAC). VAC was found to be effective technique in the management of a massive subcutaneous emphysema. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - July 25, 2019 Category: Surgery Source Type: research

Large nail in the duodenum following accidental ingestion
Publication date: September 2019Source: Journal of Pediatric Surgery Case Reports, Volume 48Author(s): Mostafa Zain, Basmal Abdulkareem Hashim, Ahmed KhairiAbstractForeign body ingestion is common in pediatrics. Management depends on the composition and the shape of the ingested objects. Small, non-caustic, non-toxic objects are considered low risk for complication after passing the lower esophageal sphincter and are allowed to pass spontaneously. This recommendation applies to straight pins less than 5 cm in length or with a weighted blunt end because evidence suggests that these items have a low probability of puncturi...
Source: Journal of Pediatric Surgery Case Reports - July 23, 2019 Category: Surgery Source Type: research

Obstructing Meckel's diverticulum associated with Infantile Hypertrophic Pyloric Stenosis
Publication date: Available online 18 July 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Amit kumar sinha, Rashi, Amit kumar, Bindey kumar, Prem kumarAbstractInfantile Hypertrophic Pyloric Stenosis (IHPS) with Meckel's diverticulum presenting as an intraluminal cyst is a very rare presentation. We are reporting a case presenting with persistent non-bilious vomiting after each feed. Exploration revealed IHPS with incidental finding of intraluminal cyst at Meckel's diverticulum. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - July 20, 2019 Category: Surgery Source Type: research

Combined percutaneous sclerotherapy and plastic surgery for the treatment of lower lip venous malformation: Report of two cases
In this report, we describe two cases of large venous malformation in the lower lip that were successfully treated by percutaneous sclerotherapy followed by plastic surgery. In our two-case presentation, sclerotherapy was performed prior to plastic surgery to improve the efficiency and reduce excessive bleeding, which resulted in significantly improved appearance and physical function. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - July 20, 2019 Category: Surgery Source Type: research

Large nail impaction in the duodenum following accidental ingestion: A case report
Publication date: Available online 18 July 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Mostafa Zain, Basmal Abdulkareem Hashim, Ahmed KhairiAbstractForeign body ingestion is a common in pediatrics. Management depends on the composition and the shape of the ingested objects. Small, non-caustic, non-toxic objects are considered low risk for complication after passing the lower esophageal sphincter and are allowed to pass spontaneously. This recommendation applies to straight pins less than 5 cm in length or with a weighted blunt end because evidence suggests that these items have a low probability of pu...
Source: Journal of Pediatric Surgery Case Reports - July 18, 2019 Category: Surgery Source Type: research

Acute presentation of pediatric splenic torsion
We describe two recent pediatric cases where patients presented with splenic torsion secondary to wandering spleen. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - July 17, 2019 Category: Surgery Source Type: research

Integrating tractography in pelvic surgery: a proof of concept
ConclusionsThis clinical case validates the ability of pelvic tractography to deliver a proper imaging of the sacral nervous network and emphasizes the potential usefulness of this approach in pelvic surgery management, with perspectives of image-guided surgery. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - July 17, 2019 Category: Surgery Source Type: research

Prolonged esophageal foreign body: Management strategies in the setting of complicated tracheoesophageal fistula
Publication date: Available online 13 July 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Krista Kiyosaki, James Wall, Douglas R. SidellAbstractEsophageal coins rarely migrate extraluminally or cause systemic illness and the development of tracheoesophageal fistulae (TEF) secondary to coin ingestion is rare. When they do occur, surgical repair may be complicated by a contaminated operative site and systemic instability. As a means to review treatment options in this setting, we present a rare case of a 16-year-old female with a history of longstanding esophageal foreign body complicated by a large tracheoe...
Source: Journal of Pediatric Surgery Case Reports - July 15, 2019 Category: Surgery Source Type: research

Malignant peripheral nerve sheath tumor of the dorsal penis
Publication date: Available online 11 July 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Ruankha Bilommi (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - July 12, 2019 Category: Surgery Source Type: research

Infantile virilisation caused by an androstenedione-producing adrenal adenoma
Publication date: Available online 9 July 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Oliver McCallion, Krithi Ravi, Darren Fowler, Shaun Wilson, Kokila LakhooAbstractA previously well fifteen-month-old female infant presented to a district general hospital in the United Kingdom with a three-month history of virilisation developing facial acne, coarse pubic hair, labia majora hypertrophy, menstruation, and clitoral enlargement. A functional adrenal tumour was suspected, supported by raised androgen metabolites on urinary steroid profile. An abdominal ultrasound scan identified a unilateral left adrenal ...
Source: Journal of Pediatric Surgery Case Reports - July 10, 2019 Category: Surgery Source Type: research

Sphenochoanal polyp causing obstruction
We present a case of sphenochoanal polyp arising from right side sphenoid sinus. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - July 10, 2019 Category: Surgery Source Type: research

Preserving the native esophagus in caustic esophageal stricture using novel strategies including fundoplication, resection and myotomy
We describe two patients with caustic-induced esophageal stricture managed successfully by using novel surgical strategies to preserve the native esophagus. One child underwent resection of the strictures and the subsequent esophageal gap was bridged by lengthening the esophagus using a Livaditis myotomy technique. The other had a fundoplication to manage her reflux which was complicating her clinical course, followed by subsequent myotomy to manage her residual upper esophageal stricture. Patients with short-segment, post-caustic esophageal stricture may be amenable to less drastic surgical procedures using myotomy, there...
Source: Journal of Pediatric Surgery Case Reports - July 10, 2019 Category: Surgery Source Type: research

Surgical resection of a congenital hemangiopericytoma involving the thoracic spine
Publication date: Available online 9 July 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Chang Hun Kim, Joohyung Son, Do Hyung Kim, Sung Kwang Lee, Bong Soo SonAbstractA congenital hemagiopericytoma (HPC) is an uncommon tumor derived from vascular pericytes; HPCs involving the central nervous system are rare. No report of a congenital HPC involving the spinal cord has yet appeared. Most adult HPCs become malignant, but infantile HPCs are benign. However, resection is necessary because the tumors grow rapidly and the risk of spontaneous bleeding is high. We here report a congenital HPC involving the back, t...
Source: Journal of Pediatric Surgery Case Reports - July 10, 2019 Category: Surgery Source Type: research

Massive hemoptysis from pulmonary histoplasmosis requiring emergency lung resection and extracorporeal membrane oxygenation
Publication date: Available online 9 July 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Daizy Nunez, Raghavendra Rao, Brian Gray, Matthew P. Landman (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - July 10, 2019 Category: Surgery Source Type: research

Intrapulmonary Teratoma in an infant
Publication date: Available online 26 June 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): O. Gentile, L. Montinaro, A. Orofino, F. Caroppo, F. Zullino, G. Paradies (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 27, 2019 Category: Surgery Source Type: research

Superior mesenteric artery syndrome after severe head trauma
We present a case of a 17-year-old boy who suffered a severe head trauma during a car accident. He had prolonged confinement in the supine position because of ongoing coma. The SMAS developed due to a progressive weight lost. Upper gastrointestinal Barium contrast study, fibroesophagogastroduodenoscopy (FEGDS), abdomen computed tomography scan (CT) were not specific and only, magnetic resonance imaging (MRI) findings suggested diagnosis of SMAS. As there was no response to the conservative treatment, surgical intervention of duodenojejunostomy was performed. The postoperative period was successful. (Source: Journal of Pedi...
Source: Journal of Pediatric Surgery Case Reports - June 27, 2019 Category: Surgery Source Type: research

Bowel perforation in a pediatric patient with congenital generalized lipodystrophy type 4
Publication date: Available online 25 June 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Amanda Munoz, Andrei Radulescu, Joanne Baerg, Yomara Mendez, Faraz A. KhanAbstractCongenital generalized lipodystrophy (CGL) is a rare autosomal recessive disorder that affects adipocyte development. Presentation varies based on type. A 12-year old female with CGL type 4, developed a sigmoid colon perforation in the setting of colonic wall hypertrophy after colonoscopy. She presented to the emergency room (ER) with several days of worsening abdominal pain and fevers. The initial evaluation was concerning for infectiou...
Source: Journal of Pediatric Surgery Case Reports - June 25, 2019 Category: Surgery Source Type: research

The rare case of a true rectovaginal fistula and its repair
ConclusionA rectovaginal fistula is a highly unusual clinical entity but one amenable to repair in the same fashion as other similar malformations. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 25, 2019 Category: Surgery Source Type: research

Multicystic adenomatoid hamartoma of the pancreas
We report a case of a 4-year old boy who presented with an 8 month history of abdominal pain, steatorrhea, and failure to thrive. Work-up showed severe pancreatic insufficiency and a large, multiseptated, cystic mass originating from the head of the pancreas and compressing the duodenum. The child underwent a classic pancreaticoduodenectomy with portal vein reconstruction. He tolerated the procedure well and has been seen in follow-up. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 25, 2019 Category: Surgery Source Type: research

Small bowel obstruction secondary to Ascaris lumbricoides in the setting of prior exploratory laparotomy
We present the case of a young man with a prior history of exploratory laparotomy for trauma, who had recently immigrated from the Philippines, where ascariasis is endemic, to the Central Valley of California in the United States. He presented with a small bowel obstruction, and at laparotomy was noted to have both a proximal Ascaris bezoar as well as a distal anastomotic stricture. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 22, 2019 Category: Surgery Source Type: research

Severe acquired tracheomalacia caused by a chronic esophageal foreign body
Publication date: Available online 20 June 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Collin F. Mulcahy, Joseph C. Park, Eva I. Rubio, Allison L. Speer, Andrea Badillo, Maria PenaAbstractA 3-year-old otherwise healthy boy presented with new-onset progressive stridor that began 3 months prior. He was noted to have dyspnea on exertion, inspiratory stridor, and occasional regurgitation of undigested food. Direct laryngoscopy with bronchoscopy revealed tracheomalacia of the cervical trachea with marked compression extending down to 2 cm above the carina. Magnetic resonance imaging, computed tomography, a...
Source: Journal of Pediatric Surgery Case Reports - June 21, 2019 Category: Surgery Source Type: research

Cautery versus laser excision of oral mucocele
Publication date: Available online 13 June 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Parisa ForoughiaslAbstractsA mucous cyst is a benign cyst which is inside the thin capsule and it contains clear fluid. These masses appear from the disruption of minor salivary gland and it leaks to surrounding tissues. Most commonly it is localized on the lower lip. Mucoceles appear in a respond of traumatic injuries like sucking off the lip, biting lip, and trauma from orthodontic devices. The purpose of this study report is to describe two different methods of surgical excision to remove the mucoceles. In the firs...
Source: Journal of Pediatric Surgery Case Reports - June 13, 2019 Category: Surgery Source Type: research

Pneumatosis intestinalis and pneumoperitoneum secondary to Sapovirus colitis
Publication date: Available online 13 June 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Thomas O. Xu, Daniel E. LevinAbstractPneumatosis intestinalis (PI) with pneumoperitoneum are radiographic findings that may be associated with severe bowel compromise. Asymptomatic patients with benign pneumoperitoneum are well described and can typically be observed. Among symptomatic patients, these findings are more concerning and often mandate operative intervention. The common etiologies of PI with pneumoperitoneum in children can typically be determined by history, physical and imaging findings. Viral enteritis ...
Source: Journal of Pediatric Surgery Case Reports - June 13, 2019 Category: Surgery Source Type: research

Endovascular retrieval of difficult to remove port-a-caths
We report our experience with 6 cases in children with port-a-caths. Transfemoral snare technique was effective in all but 1 patient. The mean age of the in dwelling port-a-caths was 5 years. One patient whose catheter could not be removed has developed no complications after a follow-up of 5 years. Review of literature suggests that while endovascular retrieval is not without risks, leaving a central line in situ has no major disadvantages. Heroic measures to remove such lines should be pursued only when absolutely necessary as in the case of an infected line. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 9, 2019 Category: Surgery Source Type: research

Laparoscopic management of simple hepatic cyst
We report a pediatric case of SHC treated by laparoscopic deroofing. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 9, 2019 Category: Surgery Source Type: research

Separation of omphalopagus conjoined twins with ruptured omphalocele, complex biliary sharing and a choledochal cyst
Publication date: Available online 5 June 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Daniel K. Robie, Nicholas Poulos, Stephen DunnAbstractOmphalopagus sharing is the second most common type of conjoining following thoracopagus conjoined twins [1]. By definition there is an absence of a cardiac sharing or open connection though there can be a fibrous nonpatent connection between the hearts, sharing or fusion of the pericardial sacs [2,3]. There is a great variance in the amount and degree of organ sharing ranging from the MCOT type (minimal conjoined omphalopagus twinning) to complex sharing of the liv...
Source: Journal of Pediatric Surgery Case Reports - June 6, 2019 Category: Surgery Source Type: research

Subglottic granular cell tumor
In this report, we present the case of a 13- years-old girl diagnosed with subglottic granular cell tumor after presenting with hoarseness of the voice for four years. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 6, 2019 Category: Surgery Source Type: research

Fourth branchial cleft cyst and congenital absence of the contralateral thyroid lobe
We report the successful surgical excision of a left fourth branchial cleft cyst in a pediatric patient presenting with an enlarging painless lateral neck mass. Intraoperatively the patient was found to have a large left branchial cleft cyst, which displaced the left superior pole of the thyroid lobe. In addition, there was hemiagenesis of the right thyroid. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 6, 2019 Category: Surgery Source Type: research

Minimally invasive repair of the severe pectus excavatum in an infant
We present a case of an 11-month-old girl with severe pectus excavatum who presented with a 3-day history of increasing dyspnea which was present since her birth. During her follow in pediatric intensive care unit she became apneic and underwent intubation. A chest tomography demonstrated pectus excavatum with right main stem bronchial compression and bilateral lower lobe pneumonia. She underwent minimally invasive repair of his pectus excavatum and was extubated on hospital day 10 and was discharged from the hospital on postoperative day 17. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 6, 2019 Category: Surgery Source Type: research

Management of symptomatic neonatal aortic thrombosis: When is surgery indicated?
We present two cases of acute aortic thrombosis each managed surgically with open aortic thrombectomy. These cases demonstrate that surgical thrombectomy is an effective method for the treatment of symptomatic aortic thrombosis in neonates and can prevent or mitigate permanent end-organ damage in select cases. We advocate for immediate therapeutic anticoagulation in all cases (unless contraindicated) and upfront surgical thrombectomy in cases of imminent abdominal visceral ischemia, renal failure or threatened limb. Systemic thrombolysis should be pursued in less severe cases where end-organ injury is not an immediate conc...
Source: Journal of Pediatric Surgery Case Reports - June 6, 2019 Category: Surgery Source Type: research

Laparoscopic-assisted removal of gastric trichobezoar by a Novel Technique
Publication date: August 2019Source: Journal of Pediatric Surgery Case Reports, Volume 47Author(s): Iftikhar A. Jan, Ikram Shaalan, Zahid L. Saqi, Mona Al Shehi, Mokhtar A. HassanAbstractTrichobezoar are mass of hair in the digestive tract caused by ingestion of hairs (trichophagia) mostly as a result of psychiatric disorders. The management of Trichobezoar includes psychiatric treatment to stop trichophagia and removal of trichobezoar for the GIT.Several techniques have been used for removal of Trichobezoar from the gut including endoscopy, laparotomy and laparoscopy. Laparoscopic retrieval is associated with minimal trau...
Source: Journal of Pediatric Surgery Case Reports - June 6, 2019 Category: Surgery Source Type: research

Rhabdomyomatous mesenchymal hamartoma presenting in a child as a perineal mass
We report a case of solitary RMH located in the perineum of an 8-month-old boy. Microscopic examination of specimen showed a disordered collection of mature adipose tissue, skeletal muscle, adnexal elements and nerve bundles, and immunohistochemistry confirmed a RMH. This case emphasizes the possibility of RMH in the perineum of the children. Even if RMH is a rare condition in the perineum it should be considered as a differential diagnosis of a perineal mass in children. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 6, 2019 Category: Surgery Source Type: research

Heterotopic gastric mucosa leading to chronic jejunal obstruction
We report a case of a young male with heterotopic gastric tissue presenting as numerous polyps causing intestinal obstruction. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 4, 2019 Category: Surgery Source Type: research

Displaced scapular body fracture treated with operative closed reduction
ConclusionsWe suggest closed reduction as an option in significantly angulated isolated scapular body fractures. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 3, 2019 Category: Surgery Source Type: research

Gastric outlet obstruction associated with congenital diaphragmatic hernia
We report an infant who developed complete gastric outlet obstruction secondary to gastric antral mucosal hyperplasia and muscular hypertrophy after CDH repair. This condition has been reported only once before when it also occurred in association with congenital diaphragmatic hernia. Other causes of gastric outlet obstruction in the newborn were excluded. The infant recovered well after undergoing a gastric antrectomy. The cause of this obscure condition is unknown. This rare condition needs to be considered in an infant who develops gastric outlet obstruction after CDH repair. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - June 1, 2019 Category: Surgery Source Type: research

Giant sacrococcygeal teratoma in newborn: A rare case
Publication date: August 2019Source: Journal of Pediatric Surgery Case Reports, Volume 47Author(s): Quri Meihaerani Savitri, Sapta Prihartono, Aminuddin HarahapAbstractA newborn girl presented with a mass at the base of the coccyx at birth, known as sacrococcygeal teratoma (SCT). Despite its infrequent incidence, SCT is the most common congenital neoplasm in neonates. Ultrasonography (USG) is a reliable diagnosis work-ups during the prenatal period, followed by CT Scan after born. It is also required to decide management after delivery. Most SCT are benign and produces better outcomes if early surgical intervention is init...
Source: Journal of Pediatric Surgery Case Reports - June 1, 2019 Category: Surgery Source Type: research

Laparoscopic-assisted removal of gastric trichobezoar
Publication date: Available online 29 May 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Iftikhar A. Jan, Ikram Shaalan, Zahid L. Saqi, Mona Al Shehi, Mokhtar A. HassanAbstractTrichobezoar are mass of hairs in the digestive tract caused by ingestion of hairs (trichophagia) mostly as a result of psychiatric disorders. The management of Trichobezoar includes psychiatric treatment to stop trichophagia and removal of trichobezoar for the GIT.Several techniques have been used for removal of Trichobezoar from the gut including endoscopy, laparotomy and laparoscopy. Laparoscopic retrieval is associated with minim...
Source: Journal of Pediatric Surgery Case Reports - May 30, 2019 Category: Surgery Source Type: research

Venous malformation of the lung in an infant
We present a case of cavernous hemangioma classified as venous malformation of the lung in an infant, which was initially diagnosed and treated as pneumonia. The patient was a 9-month-old boy with a history of cavernous hemangioma on the right sole of the foot that was treated with resection at 8 months of age. He presented with the symptoms of upper respiratory inflammation of 2 weeks' duration. A localized mass was found in the lower right lung field on chest radiography, and a 5-cm tumorous lesion was detected on computed tomography. Although there were no imaging findings suggesting malignancy, a malignant disease coul...
Source: Journal of Pediatric Surgery Case Reports - May 30, 2019 Category: Surgery Source Type: research