European Journal of Pediatric Surgery Reports最新文献

Successful Treatment of Concurrent Cholangiohydatidosis with Obstructive Jaundice and Hepatothoracic Transit in a Pediatric Patient. 小儿合并梗阻性黄疸并发胆管包虫病的成功治疗。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2025-05-10 eCollection Date: 2025-01-01 DOI: 10.1055/a-2590-5917

Narcis Flavius Tepeneu, Călin Marius Popoiu, Emil Radu Iacob, Simona Cerbu, Oana Belei, Rodica Heredea

{"title":"Successful Treatment of Concurrent Cholangiohydatidosis with Obstructive Jaundice and Hepatothoracic Transit in a Pediatric Patient.","authors":"Narcis Flavius Tepeneu, Călin Marius Popoiu, Emil Radu Iacob, Simona Cerbu, Oana Belei, Rodica Heredea","doi":"10.1055/a-2590-5917","DOIUrl":"https://doi.org/10.1055/a-2590-5917","url":null,"abstract":"Concurrent rupture of hepatic hydatid cysts into the biliary tree and into the pleural cavity is a very rare complication in echinococcosis and can pose diagnostic and treatment challenges. We present the case of a 15-year-old female patient with recurrent abdominal pain, chest pain, fever, vomiting, jaundice, and cholangitis. Ultrasound, X-rays, computed tomography of the abdomen and thorax and cholangio-magnetic resonance imaging revealed a hepatic hydatid cyst with rupture into the main biliary duct causing obstruction, gallbladder microlithiasis, rupture of the right hemidiaphragm, and pleural hydatidosis. Echinococcus serology tests were positive. Endoscopic retrograde cholangiopancreatography (ERCP) could not resolve the obstructive jaundice. A laparotomy with choledochotomy, removal of hydatid structures, choledochal drainage with Kehr tube, cholecystectomy, Lagrot partial pericystectomy, partial pleural resection, suturing of the diaphragm, and triple drainage (right pleural cavity, cystic cavity, and Douglas pouch) was performed. Perioperative albendazole and antibiotic therapy was administered. The patient had an uneventful postoperative course. Follow-up at 1, 6, 12, and 24 months showed a favorable evolution without relapse of the hydatidosis. The very rare complications of cholangiohydatidosis and concomitant hepatothoracic transit lead to a severe condition, which needs adequate surgical treatment. Clinical presentation and laboratory findings are not specific and may simulate an obstructive jaundice and acute cholangitis of other etiology. ERCP with endoscopic papillotomy offers the advantage of a minimally invasive surgery, but it does not allow a definitive treatment of the whole problem and may be useful as a bridge procedure to drain the bile duct while awaiting definitive surgery.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e9-e13"},"PeriodicalIF":0.6,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rare Case of OHVIRA with Ectopic Inguinal Hemiuterus and Ovary. OHVIRA合并异位腹股沟半子宫和卵巢的罕见病例。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2025-05-08 eCollection Date: 2025-01-01 DOI: 10.1055/a-2590-6030

Stefanie Welke, Ferdinand Kosch, Andreas Müller, Amelie Hufnagel-Schmude, Leonie Rother, Verena Ellerkamp

引用次数: 0

Cloacal Exstrophy Associated with a Hindgut Duplication Anomaly: A Case Report of Challenges in Hindgut Preservation. 与后肠复制异常相关的泄殖腔外翻：后肠保存挑战的一例报告。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI: 10.1055/a-2544-3341

Suliaman Alaqeel, Jamila Almaary, Fatmah Alrabodh, Fayez AlModhen

{"title":"Cloacal Exstrophy Associated with a Hindgut Duplication Anomaly: A Case Report of Challenges in Hindgut Preservation.","authors":"Suliaman Alaqeel, Jamila Almaary, Fatmah Alrabodh, Fayez AlModhen","doi":"10.1055/a-2544-3341","DOIUrl":"10.1055/a-2544-3341","url":null,"abstract":"Cloacal exstrophy (CE) is a rare condition, and the preservation of a short hindgut is crucial for growth, fluid-electrolyte balance, and bowel management. Herein, we present the case of an infant with concurrent anomalies and the challenges faced during the preservation of both hindguts. A preterm male infant, born at 34 weeks weighing 2 kg, was diagnosed with CE. The first stage of CE repair was performed at 3 months of age, involving the separation and tubularization of the cecal plate and the joining of the two hemi-bladders. During the procedure, hindgut duplication was noted. Each hindgut had a short mesentery with far-separated, tiny blind ends (7 and 10 cm in length), each directed toward opposite sides of the pelvis and measuring 8 Fr in caliber. Due to the risk of compromising the blood supply during rotation and mobilization of one hindgut, the decision was made to exteriorize each hindgut as end stomas. Both stomas began functioning as expected. However, a colo-cutaneous fistula (connecting the cecum to the midline surgical wound) developed and was managed conservatively for 8 weeks. During this period, despite the functioning left stoma, the right stoma was stenosed, and the fistula persisted. The infant underwent a second laparotomy for fistula repair and reconstruction of both hindguts. This was successfully managed by creating a single-lumen end stoma, preserving the entire length of the hindguts with a wider caliber. In conclusion, complex cases of CE are uncommon, and unexpected operative findings should always be anticipated. Reconstructing both hindguts into a single lumen during the initial procedure can be challenging but is achievable with time and careful effort. Preservation of both hindgut ends should be prioritized. However, long-term outcomes remain uncertain due to the rarity of this presentation.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e1-e3"},"PeriodicalIF":0.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Arterio-Ureteral Fistula as a Long-term Complication Following Retroperitoneal Presacral Ganglioneuroma Resection: Case Report in an Adolescent and Review of the Literature. 动脉输尿管瘘作为腹膜后骶前神经节神经瘤切除术后的长期并发症：一例青少年病例报告及文献回顾。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-12-24 eCollection Date: 2024-01-01 DOI: 10.1055/a-2496-5087

Theresa S Haecker, Thomas F Krebs, Regula von Allmen, Frank-Martin Haecker

{"title":"Arterio-Ureteral Fistula as a Long-term Complication Following Retroperitoneal Presacral Ganglioneuroma Resection: Case Report in an Adolescent and Review of the Literature.","authors":"Theresa S Haecker, Thomas F Krebs, Regula von Allmen, Frank-Martin Haecker","doi":"10.1055/a-2496-5087","DOIUrl":"10.1055/a-2496-5087","url":null,"abstract":"Arterio-ureteral fistula (AUF) is a rare condition affecting nearby adult-only patients. Patients usually present with hematuria, often starting as intermittent hematuria which frequently increases, and may lead to hemorrhagic shock. Without rapid diagnosis and prompt treatment, AUF can be lethal. Risk factors for developing an AUF include a history of pelvic surgery mainly due to cancer, a history of pelvic radiation, a history of vascular surgery, or chronic indwelling ureteral stents (CIUS). Imaging to confirm diagnosis includes angiography, computed tomography (CT) scan, or retrograde pyelography, although AUF may be missed. Therefore, even if imaging is negative, the presence of hematuria of unexplained origin in combination with mentioned risk factors is highly suspicious for AUF and must be excluded. We report the case of a 16-year-old male patient who presented with a new onset of intermittent hematuria to our emergency room. The patient's history included previous pelvic surgery for resection of ganglioneuroma 6 years ago with bilateral replacement of the iliac artery and postoperative acute kidney failure with reconstruction of both ureters and CIUS. After the initial uneventful postoperative follow-up over 5 years, another Double J (DJ) catheter had to be placed into the right ureter due to hydronephrosis. Six weeks later, the patient presented with intermittent hematuria. Despite negative imaging, we performed immediate surgical exploration confirming the diagnosis of AUF. To the best of our knowledge, this is the first case of AUF under the age of 18 years reported in the literature. In conclusion, in patients with macrohematuria and a history of the abovementioned risk factors, AUF has to be kept in mind and must be reliably excluded.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"12 1","pages":"e95-e98"},"PeriodicalIF":0.6,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anal Sphincter Reconstruction Using the Posterior Sagittal Approach for Pediatric Perineal Trauma. 后矢状入路肛门括约肌重建治疗小儿会阴创伤。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-12-19 eCollection Date: 2024-01-01 DOI: 10.1055/a-2487-5249

Julia Ann Ryan, Thomas O Xu, Christina Ho, Briony K Varda, Veronica Gomez-Lobo, Allison Mayhew, Erin Teeple, Andrea Badillo, Christina Feng, Marc A Levitt

{"title":"Anal Sphincter Reconstruction Using the Posterior Sagittal Approach for Pediatric Perineal Trauma.","authors":"Julia Ann Ryan, Thomas O Xu, Christina Ho, Briony K Varda, Veronica Gomez-Lobo, Allison Mayhew, Erin Teeple, Andrea Badillo, Christina Feng, Marc A Levitt","doi":"10.1055/a-2487-5249","DOIUrl":"10.1055/a-2487-5249","url":null,"abstract":"Traumatic perineal injuries are rare but can result in significant morbidity, particularly when the anal sphincter is injured. The management of such injuries in the pediatric population is rarely noted in the literature. We aimed to describe reconstruction in such patients using lessons learned in reoperative anorectal malformation surgery. This is a single-institution retrospective case series of three pediatric patients who were referred to our institution with pelvic trauma who underwent anal sphincter reconstruction. Three patients aged 5 (female), 12 (male), and 13 (female) years were referred for reconstruction following pelvic trauma involving the anal sphincter, perineal body, and genitourinary system. All three underwent multidisciplinary evaluation with urology and gynecology (for females) and a subsequent repair with anal sphincter reconstruction utilizing a posterior sagittal approach. Two patients had ostomy reversal with appendicostomy for antegrade continence enemas and regained voluntary fecal control. The third patient is awaiting colostomy reversal but has regained volitional urinary control after urethral reconstruction. The experience gained from using the posterior sagittal anorectoplasty approach in reoperations for patients with anorectal malformations can be applied to cases of rectal trauma. Key aspects include mobilizing the rectum, repairing the sphincters, and placing them around the anus, and in females, reconstructing the perineal body. Pediatric pelvic trauma can cause devastating disruptions of physiology and are difficult to treat. Experience from reoperations for anorectal malformations can be applied to these cases, including the use of a multidisciplinary team and posterior sagittal approach.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"12 1","pages":"e90-e94"},"PeriodicalIF":0.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enigma of Gastric Teratoma in Infants: A Case Series. 婴儿胃畸胎瘤之谜：病例系列。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1800885

Soumitra Saha, Mayank Tripathi, Kumar Vineet, Ajinkya Kale, Pooja Pande, Zachariah Chowdhury, Raghwesh Ranjan

引用次数: 0

Transverse Testicular Ectopy and an Incarcerated Inguinal Hernia in a 2-Month-Old Preterm Boy. 睾丸横断切除及嵌顿性腹股沟疝1例2月早产儿。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-11-28 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1795163

Marcin Lech Kordasz, Michael Nakhleh, Christoph Matissek, Alexander Mack, Thomas Franz Krebs, Frank-Martin Haecker

{"title":"Transverse Testicular Ectopy and an Incarcerated Inguinal Hernia in a 2-Month-Old Preterm Boy.","authors":"Marcin Lech Kordasz, Michael Nakhleh, Christoph Matissek, Alexander Mack, Thomas Franz Krebs, Frank-Martin Haecker","doi":"10.1055/s-0044-1795163","DOIUrl":"10.1055/s-0044-1795163","url":null,"abstract":"Transverse testicular ectopy (TTE) is a rare anomaly in which both testicles descend through the same inguinal canal. Different variants of this anomaly exist, with the most common presenting as two separate spermatic cords and testicular vessel bundles. The management of this condition is challenging, as various factors have to be considered. We report on a 2-month-old preterm boy with TTE, admitted to the hospital due to an ipsilateral incarcerated inguinal hernia. Diagnostic workup included a physical examination revealing a large swelling in the right groin, ultrasound imaging that showed both testicles located in the right inguinal canal, and laboratory tests indicating a deficiency of anti-Mullerian hormone. All of these findings confirmed the diagnosis of TTE. Surgical treatment included diagnostic laparoscopy with herniorrhaphy, followed by inguinal revision with transseptal orchidopexy in a second procedure. The 12-month follow-up was uneventful. Though rare, TTE is an important differential diagnosis in case of an incarcerated hernia combined with (contralateral) empty scrotum. Pediatric surgeons must be aware of this entity. Meticulous diagnostic workup and careful surgical management are mandatory.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"12 1","pages":"e81-e84"},"PeriodicalIF":0.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful Repair of Esophageal Atresia with Tracheoesophageal Fistula and Interrupted Inferior Vena Cava: A Rare Case Report. 食管闭锁伴气管食管瘘及下腔静脉中断1例报告。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-11-18 eCollection Date: 2024-01-01 DOI: 10.1055/a-2448-3530

Xiao Long Mu, Junqiu Wang

引用次数: 0

Pulmonary Inflammatory Myofibroblastic Tumor: A Case Report. 肺部炎性肌纤维母细胞瘤：病例报告

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.1055/a-2430-0053

Lotte Bruyninckx, Paul De Leyn, Dirk Van Raemdonck, Yanina Jansen, Katrien Coppens, Francois Vermeulen, Birgit Weynand, Christopher Gieraerts, Herbert Decaluwé

{"title":"Pulmonary Inflammatory Myofibroblastic Tumor: A Case Report.","authors":"Lotte Bruyninckx, Paul De Leyn, Dirk Van Raemdonck, Yanina Jansen, Katrien Coppens, Francois Vermeulen, Birgit Weynand, Christopher Gieraerts, Herbert Decaluwé","doi":"10.1055/a-2430-0053","DOIUrl":"10.1055/a-2430-0053","url":null,"abstract":"An inflammatory myofibroblastic tumor (IMT) is a rare mesenchymal tumor that occurs predominantly in children and young adults. Etiology remains unclear. But based on the frequent detection of chromosomic alterations, especially near the anaplastic lymphoma kinase (ALK) gene, IMT is now considered to be a true neoplasm. In addition, the possible aggressive behavior, and the ability to metastasize suggest at least an intermediate malignant potential. Surgery remains the treatment of choice, but the use of chemotherapy, nonsteroidal anti-inflammatory drugs, immunotherapy, and targeted therapy are reported. We describe a case of a pulmonary IMT in a 6-year-old boy with an incidental finding of a lesion in the right upper lobe. A video-assisted thoracoscopic right upper lobectomy with lymph node resection was performed. Microscopic examination confirmed the diagnosis of IMT with the nodule showing spindle cells in a background of plasma cells. ALK immunohistochemical expression was negative.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"12 1","pages":"e73-e76"},"PeriodicalIF":0.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Choledochal Cyst and Right Congenital Diaphragmatic Hernia: When to Intervene? 胆总管囊肿和右侧先天性膈疝：何时干预？

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1791813

Émilie Kate Landry, Annie Le-Nguyen, Elissa K Butler, Sarah Bouchard, Josée Dubois, Caroline P Lemoine

{"title":"Choledochal Cyst and Right Congenital Diaphragmatic Hernia: When to Intervene?","authors":"Émilie Kate Landry, Annie Le-Nguyen, Elissa K Butler, Sarah Bouchard, Josée Dubois, Caroline P Lemoine","doi":"10.1055/s-0044-1791813","DOIUrl":"https://doi.org/10.1055/s-0044-1791813","url":null,"abstract":"Patients with congenital diaphragmatic hernia (CDH) can present with other congenital anomalies, but an associated choledochal cyst (CC) has rarely been described. The simultaneous diagnosis of both anomalies complicates patient management. There is no consensus on the ideal timing for CC excision. Unrepaired CC is associated with risks of developing biliary sludge, choledocholithiasis, and cholangitis. After a CDH repair with mesh, secondary bacterial translocation caused by a delayed CC repair could lead to mesh superinfection. Conversely, early CC surgical management could cause mesh displacement and lead to CDH recurrence, requiring reintervention. We present the rare case of a CC occurring in a neonate with a prenatally diagnosed right CDH. One month after an uncomplicated CDH repair with mesh, while the patient was still hospitalized for pulmonary hypertension, she developed progressive cholestasis and acholic stools. Investigations revealed a nonpreviously suspected CC. Conservative treatment was attempted, but CC perforation with secondary biliary peritonitis occurred. Open CC excision with a Roux-en-Y hepaticojejunostomy was therefore performed on day of life (DOL) 41. Having suffered no short-term surgical complications, the patient was discharged on DOL 83 because of prolonged ventilatory support due to pulmonary hypertension. Now 12 months after surgery, she is doing well with normal liver function tests and imaging studies. In summary, CC should be considered in the differential diagnosis of progressive cholestasis in patients with CDH. Surgical repair of a symptomatic CC should not be delayed even in the presence of mesh given the risks of CC complications.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"12 1","pages":"e68-e72"},"PeriodicalIF":0.6,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11518628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0